(navigation image)
Home American Libraries | Canadian Libraries | Universal Library | Community Texts | Project Gutenberg | Children's Library | Biodiversity Heritage Library | Additional Collections
Search: Advanced Search
Anonymous User (login or join us)
Upload
See other formats

Full text of "Homoeopathic practice of medicine"

ARMY MEDICAL LIBRARY 



FOUNDED 1836 




WASHINGTON, D.C 




ABCHIEPISCCP 



HOMOEOPATHIC MEDICINE. 



HOMCEOPATHIC 



PRACTICE OF MEDICINE. 



BY JACOB JEANES, M. D 




Plin.ABEI.PIII A 
TRINTED BY A. WALPJE, NO. 46 CARPENTER STREET 

1838. 



• a • . 



\5"\&5k 



1/i/e/f 

143 h 

[13S 



Entered according to act of congress by Jacob Jeanes, M.D., on the 9th 
day of June, 1838, in the clerk's office of the district, for the eastern district of 
Pennsylvania. 



TO 

CHARLES F. MATLACK, M.D 

WHO WAS THE EARLIEST AMONG THE GRADUATES OF THE UNIVERSITY OF 

PENNSYLVANIA ENGAGED IN THE PRACTICE OF MEDICINE IN 

PHILADELPHIA, TO ACKNOWLEDGE 

THE TRUTH 

OF THE DISCOVERIES OF HAHNEMANN, 

WHICH ARE GRADUALLY EFFECTING A HENEF1CENT REVOLUTION 

IN MEDICINE, 

THIS WORK LS RESPECTFULLY INSCRIBED BY HISS FRIEND, 



THE AUTHOR 



*it.r*r 



ADVERTISEMENT. 

As it was known to many of the friends of homoeo- 
pathia that Dr. Jonas Green and myself were for 
some time engaged in the preparation of a practical 
homoeopathic work, it may not be improper to inform 
them, that from the inherent difficulties of combined 
authorship, that purpose was abandoned: it being 
mutually agreed that I should carry on the work 
alone. A renewed reference to the German works 
in order to cite the cases, &c. in satisfactory detail, 
and to procure the latest information, in order to 
present to the American physician as complete a 
book of practical homoeopathic medicine as can be 
done in the present state of the science, necessarily 
required considerable time. This, together with de- 
mands made upon my time by the duties of a large 
circle of practice, will account for any apparent 
delay in bringing the work before the public. 

A very small edition of this work is published, as 
the demand cannot be expected to be very extensive. 
The price of the work, therefore, in order to meet the 
expenses, must be considerably higher than that of 
books for which the demand is more general. 

J. JEANES, M.I). 

Philadelphia, June, 1838. 



PREFACE. 



Works of the character of the present volume appear to be 
advancing in the estimation of the homoeopathic physicians 
of Germany; at least, several books by different authors have 
appeared there within a few years, and each later one not 
only increased in bulk by the introduction of additional facts, 
but also entering into more minute details of the cases which 
in the earlier works had been merely mentioned. It is only 
necessary to compare the small pocket volumes of Haas and 
Glasor with the large work of Ruckert, in order to be satis- 
fied of these facts. 

No lengthened argument is requisite to prove the great 
utility of practical works of this kind, to the homoeopathic 
practitioner; although it must be acknowledged that they are 
liable to some abuse. This, however, should not prevent us 
from availing ourselves of what is really advantageous, since 
there is nothing which is good that is not liable to misappli- 
cation; and we might as well deprive ourselves of the advan- 
tages afforded by fire, because it may prove destructive of our 
property, as to refuse other positive good because we may be 
induced to abuse it. 

The greatest mischief that can be expected to result from 
the employment of practical works like the present, is, that 
indolent physicians will be inclined to prescribe rather accord- 
ing to the name than the symptoms of the disease. But this, 
when it is brought to the test of examination, shrinks into 
insignificance : for where a physician is sufficiently indolent 
to act in this manner, the matter would, certainly, not be 
much improved if he possessed only the volumes of the ma- 
teria medica, in which lie may without much trouble find a 
remedy which will meet many of the symptoms of a case, 
but still so imperfectly, that he would be less likely to make 
a proper selection than when aided by a proper general guide. 
1 



PREFACE. 



It is a great advantage which the homoeopathic practice of 
medicine possesses over all others, that, in novel or unde- 
scribed forms of disease, which are much more numerous 
than physicians are generally aware of, it enables the practi- 
tioner to ascertain the proper remedies with tolerable success. 
This it does by means of the symptomatology of its remedial 
agents, the investigation of which has been pursued with 
surprising industry, perseverance, and success. But as the 
same symptoms (or at least the same so far as regards the 
import of the words in which they are communicated, and 
we possess no other medium for their communication than 
language) are not of equal value under every remedy, there 
is still considerable risk of the selection of a remedy which 
is of inconsiderable value compared to another, in the treat- 
ment of a given case. It is therefore of no slight advantage 
to know that cases of the same kind as that which we are 
about to treat have been cured by such or such remedies. 
The probability is very great, that among these is to be found 
the remedy which, of all those with which we are yet ac- 
quainted, is the best adapted to our case. 

Notwithstanding the high estimation in which he very 
properly held the advantage of being able to select, oftentimes 
with perfect accuracy, the proper remedy by means of the 
symptoms, Hahnemann appears always to have recognised 
the importance of a knowledge of those remedies which had 
proved most generally or most strikingly useful in those dis- 
eases which present a somewhat constant and fixed character. 
He has, therefore, from time to time, as experience has con- 
firmed the value of remedies in such diseases, not hesitated 
to recommend them to the attention of physicians. Other 
physicians having imitated his example in this respect, 
homoeopathic medicine is at length able to present very use- 
ful, though far from complete works, based upon experience 
m practice, and which may serve as guides to the proper 
remedies for many forms of disease. 

At the present time we labour under the disadvantage of 
having to employ, in our practical works, the old names of 
diseases, which are often applied to complaints which possess 



PREFACE. 3 

very considerable differences in character, although they have 
some prominent symptoms in common ; or they apply to a 
definition which, being intended to embrace a variety of dis- 
eases, presents a combination of symptoms which has been 
rarely if ever presented in nature, while comparatively few 
of them are restricted in their application to affections of a 
fixed and constant character. Therefore, when we mention 
such or such remedies as being useful in a disease, we do not 
mean to prescribe for a particular disease, but merely to refer 
the physician to such remedies as have proved beneficial in 
cases where the symptoms, which are prominent in the defi- 
nition, have been present in a violent form. More particular 
information is, however, communicated by the cases which 
are accurately drawn from nature. It is perhaps possible 
that a case of disease may be peculiar, and never have its 
fellow ; but as a general rule, when we find a form of dis- 
ease in one person, it is most likely that it will be found in 
some others. This arises from the facts, that the same patho- 
genetic agent will often produce the same disease in different 
persons, and that different pathogenetic causes may induce 
the same or closely similar disorders of the same tissue or 
organ. Thus, gastric disorder, which arises from the extra- 
vagant employment of alcoholic drinks in one person, is very 
similar to the derangement of the stomach in other persons 
from the same cause, and may generally be removed by nux 
vomica. This remedy will also frequently cure the gastric 
disorder from the use of coffee, and from some other causes. 
But as all forms of disease in a particular tissue or organ, or 
all forms of disease arising from the same cause, will not 
yield to the same remedy, owing to difference of constitution 
or previous exposure or habit of the patient, the observation 
of the physician must be constantly exercised, to detect in the 
varying symptoms the indications which will show one or 
another remedy to be more appropriate to the case. 

In observing the number of circumstances and agents 
which so frequently and powerfully modify morbid action, 
the uniformity of this action, at least so far as it is marked by 
the curative operation of remedies, is sometimes a matter of 

1* 



4 PREFACE. 

surprise. Croup furnishes an example of this ; lor, while it 
occurs in children of almost every variety of constitution, 
and appears to be excited by very different causes, it still 
most commonly yields speedily to the remedies which have 
been recommended by Hahnemann for its cure. These have 
proved efficacious, both where this disease has resulted from 
cold, and where it has been the effect of scarlatina and of 
measles. As, notwithstanding the difference in the causes by 
which it is excited, and in the conditions of the systems in 
which it appears, these remedies exercise such a powerful 
control over the croup, we must infer that their efficacy arises 
from a property which they possess of operating powerfully 
on the tissues involved in this disease. This inference is in 
accordance with the induction which Hahnemann has drawn 
from the fact of homoeopathic cure — namely, that the cure 
happens because the remedial disease, on account of its simi- 
larity, seizes in preference upon the same parts of the organi- 
sation as have been affected by the previous disease, which 
therefore cannot operate and is extinguished. 

The opinion of Hahnemann, which has just been quoted, 
appears to be a just and legitimate induction from observed 
facts ; and if it localises disease, it has the support not only 
of the facts from which it has been deduced, but also from 
those which have been ascertained by the industry of modern 
pathological anatomists. These also confirm the value of 
his precepts. For instance, he teaches the necessity of observ- 
ing all the symptoms of a case of disease, and of selecting as 
nearly as possible a remedy which is calculated to remove all 
these symptoms. Now, modern pathological anatomy teaches 
us, by its dissections, what Hahnemann before observed in 
the symptoms and progress of disease ; namely, that disease 
of an important organ seldom or never exists alone, but, 
according to the nature of the morbid action or of the part 
originally affected, induces, in a particular order or direction, 
sympathetic diseases in other organs. Although these dis- 
eases may exist at first as functional derangements, they may 
sooner or later produce organic lesions, which will reveal to 
the anatomist the pre-existence of the disease. As, in a ma- 



PREFACE. 5 

chine, a disordered movement in any of its parts must be felt 
throughout, the whole structure ; so we can hardly conceive 
of any derangement of that complicated structure, the human 
organisation, especially in its more important organs, without 
consecutive disorder in other parts. 

Whatever credence or value we may attach to these observ- 
ations at the present time, it has been only of recent date that 
they have been considered of much importance, or have 
attracted much attention; therefore, when Hahnemann pub- 
lished the symptoms produced by remedies tried upon healthy 
persons, the multiplicity of symptoms induced by a single 
remedy was viewed as a matter for laughter and ridicule. 
But we can now understand, that when a pathogenetic agent 
deranges the action of any organ or organs, a train of morbid 
actions in other parts will, in all probability, be the result of 
this derangement. It is obvious, therefore, that if we possess 
a remedy which has the power of affecting an important part, 
we must have from it the symptoms of such affection, and of 
the consequent sympathetic disorders. The symptoms pro- 
duced by such a remedy must therefore be numerous, and 
capable of meeting the symptoms which arise from disease of 
the same parts, induced by other causes. 

If the localisation of disease is a fact in nature— and the 
inference that it is seems, as already remarked, to be a legiti- 
mate induction from observed facts — it would appear to follow 
that the remedy which acts positively and immediately upon 
any tissue is better adapted to the diseases of that tissue, than 
a remedy which acts indirectly upon it, through its positive 
action on another organ with which the former is in close 
relation or sympathy. A knowledge of the actual seat of a 
disease, of the morbid relations of different organs to each 
other, and of the seat of the most frequent and powerful 
impressions of remedial agents, may therefore be of great 
advantage to the homoeopathic physician. Observation of 
the operations of remedies in disease, conjoined with experi- 
ments with the remedies on healthy persons, ought to be 
instituted with a view to ascertain the facts in relation to 
these points. It is true, that in the present state of our know- 



" PREFACE. 

ledge, in regard to the seats of disease, wc can expect only a 
slight assistance at first from this investigation ; but when 
we consider the light which homceopathia itself can lend to 
pathological investigations, we may hope that the knowledge 
thus derived, and especially the knowledge of the most power- 
ful and positive actions of our remedial agents, may enable 
us to select our remedies with still greater certainty than we 
can at present ; and prevent us, in the midst of a rapidly 
increasing materia medica, from feeling ourselves encumbered 
with the multitude of our tools, by affording us the facilities 
for finding more readily those which are adapted to our pur- 
poses. 

Prom what has been already said, it is evident that a 
knowledge of the symptoms of the fixed and constant forms of 
disease is valuable to the homoeopathic physician, and it is 
obvious that information as to those other disorders which 
may be mistaken for these forms of disease is almost equally 
desirable. It is also evident that an acquaintance with the 
usual course, duration and consequences of diseases, is neces 
sary to the physician, in order to qualify him to judge of the 
effects of his remedies upon the disease, and not to mistake 
the natural course or termination of the disease for the conse- 
quences of the administration of his remedial means. There- 
fore, those persons who have not taken the trouble to acquire 
this necessary knowledge labour under very considerable 
disadvantages in conducting the homoeopathic treatment of 
disease, and their patients must sometimes suffer from their 
ignorance. 

In speaking of the value of pathological knowledge to the 
homoeopathic physician, I would be understood only to mean 
a knowledge of the seat, relations, symptoms, sympathies, du- 
ration and consequences of diseases ; in other words, a know- 
ledge of the facts in relation to diseases. To those specula- 
tions which are intended to legitimatise a particular mode of 
practice or the employment of particular remedial means, but 
which have been dignified with the names of pathology and 
therapeutics, no value is to be attached. A brief investiga- 
tion will serve to exhibit the correctness of this assertion. 



PREFACE. 



And as false pathology, in relation to inflammation and blood- 
letting, has the strongest hold on the minds of the physicians 
of the present day, this may be selected by way of example. 

Nearly if not quite all internal lesions of structure, which 
are not the effects of actual violence, are considered to be the 
consequences of inflammation ; and blood-letting, in one form 
or another, is viewed as the appropriate remedy. But as we see 
in external parts, lesions of structure without apparent inflam- 
mation, as, for instance, erosion of the cornea in some species 
of marasmus; and as we observe other external lesions for 
which, although they are attended with redness from dilata- 
tion of the blood vessels, the detraction of blood is by no 
means beneficial, we may certainly be excused if we view 
the pathology as false, and the therapeutic views as ridiculous, 
although the physicians who hold these doctrines proclaim 
them as those of rational medicine. 

There seems to be a general belief that blood-letting, in in- 
flammatory diseases, has a rational support independently of 
that derived from experience of its utility. But no such sup- 
port can be found. It is true, there have been many specula- 
tions in regard to the nature of the morbid actions which con- 
stitute inflammation, and in respect to the modus operandi of 
blood-letting in their cure. 

None of these, however, have given general satisfaction, 
and there is no reason to be surprised because they have not. 
Inflammation exists in vessels and parts which are under the 
influence of the vital principle, and are unquestionably the 
result of a modification or innormal action of that principle. 
The blood-vessels therefore cannot be considered as mere in- 
animate elastic or inelastic tubes, and any inferences deduced 
from such views cannot be considered as rational. And as we 
do not understand any thing of the vital principle but its effects, 
or in other words, while we can witness the phenomena of 
life, and while we do not understand its nature or the modes 
by which it produces these phenomena, we cannot compre- 
hend the nature and true character of the actions which con- 
stitute inflammation, since these are some of those vital 
actions which we do not understand. Neither are we able to 



8 



PREFACE. 



explain the modus operandi of blood-letting in its cure, be- 
cause this is not the same as tapping inanimate tubes, but an 
operation which, whether it acts beneficially or injuriously 
upon the disease, does so through its power of modifying the 
condition of the system ; and the why and the wherefore of 
its action in either manner is no easier to be answered, than 
why calomel purges, tartar emetic vomits, or cinchona cures 
an intermittent fever. 

Local bleeding, that is, the abstraction of blood from the 
affected part or its immediate vicing by means of scarifica- 
tions, leeches, &c, has sometimes proved more useful than 
phlebotomy, and is preferred for many diseases (though for 
what reason, independently of experience which many of the 
self-styled rational physicians are in the habit of decrying, I 
know not.) Having decided that the disease consists in an 
inflammation, say of the mucous membrane of the intestines, 
they direct the application of leeches to the abdomen as nearly 
as possible over the part which they presume to be affected. 
It is indeed sometimes really laughable to see these rational 
practitioners pluming themselves on their exactness in the ap- 
plication of their leeches immediately over the affected spot ; 
and one day directing them to be applied a little higher or 
lower, and on the next day a little more towards one or the 
other side. The matter is ludicrous only because they are 
rational physicians par excellence ; and because what they 
term local abstraction of blood, although performed within an 
inch of the affected part, if the distance be measured in a 
direct line, is, if we follow the continuity of structure, actually 
performed at the distance of more than one half of the cir- 
cumference of the body from the inflamed spot. Indeed the 
skin of the back is much nearer to the affected mucous mem- 
brane, in pursuing a continuity of structure, than the skin of 
the abdomen, which is not only separated from the mucous 
membrane of the bowels by muscles and tendons, but also by 
the cavity of the peritoneum. 

When such practice is recommended on the ground of its 
rationality, it is to be rejected ; but if recommended and 
sustained on the ground of experience, it is more worthy of 



PREFACE. 9 

attention, and should be adopted, if experience proves it to be 
more efficacious in restoring the sick to speedy and perfect 
health than any other mode of practice. Experience is the 
foundation which is claimed for itself by homosopathia. It 
asserts that it stands upon certain facts, the truth of which 
can be ascertained by experiment. It challenges an investi- 
gation of its facts, but it demands that this should be con- 
ducted in the spirit which should govern in all the investiga- 
tions of natural science — a spirit which is under the dominion 
neither of prejudice nor self interest, and which is impartial 
in its judgment and rigid in the reception and scrutiny of 
evidence. 

The doctrines of homoeopathia, which are the mere state- 
ments of, or only the fair legitimate and immediate inductions 
from these facts, are a striking example of the inductive sys- 
tem ; that is, "the observation of facts and the embodying of 
those conclusions that legitimately flow from them." This 
system of philosophising, which has been strenuously urged 
by Bacon, is one which has been pursued more or less strictly 
by men of sound judgment and good common sense in every 
age of the world. As remarked by Dr. Stokes, " In the wri- 
tings of Hippocrates you will find the principles of the induc- 
tive philosophy. A physician showed Bacon the road to 
immortality."* 

But however plain may be the necessity of adhering in 
matters of science to the strict rules of the inductive system, 
there is very great danger, unless we are constantly upon the 
watch against it, of our allowing prejudice, rather than obser- 
vation and experiment, to decide upon what are the facts in 
nature, and of our allowing hypothesis to take precedence of 
fact. 

The following copious extract from an introductory lecture 
delivered recently by an estimable and talented medical pro- 
fessor, while in many of its parts it is strongly confirmatory 
of some remarks already made in this preface, also shows 

* Lectures on the Theory and Practice of Medicine. Edilion of the 
American Medical Library, page 7. 



10 



PREFACE. 



how fully the lecturer recognises the importance of strict ad- 
herence to the inductive system in medicine ; and when con- 
sidered in connection with other parts of the same lecture, 
exhibits to us in a striking point of view the great necessity 
of caution against the infraction of those rules, the positive 
necessity of which we readily admit. 

"You may receive it as an indisputable truth, that any 
claim to your guidance in the use of medicines, founded upon 
an hypothesis assuming to be of universal or even general 
application, is wholly groundless and futile. The facts of 
our science are yet far too limited to enable us to form a 
general theory of medicine upon the only true foundation — 
that of strict induction. How is it possible for us to draw 
from our knowledge of the human system a doctrine expla- 
natory of all its morbid actions, when we are almost wholly 
in the dark as to the nervous functions, and of the principle 
of life itself know scarcely more than its existence? We 
might as well attempt to form an accurate map of a country 
from our knowledge of a few of its prominent points, while 
ignorant alike of its boundaries and its interior. Yet so pre- 
sumptuous is man, that he frequently undertakes the impos- 
sible task. With intellectual powers, which, in comparison 
with the object, are infinitely feeble, he strives to penetrate 
the secret counsels of Almighty wisdom. Like the giants of 
old, he heaps up his mountain upon mountain, and with 
audacious vanity hopes to seize upon heaven itself by violence. 
There is only one path to truth in science, and that is the 
straight but narrow and laborious path of observation and ex- 
perience. It is true that false theories, if without practical 
bearing, may sometimes be useful as aids to the memory; but 
when they have relation to human life and happiness, they 
become engines of incalculable mischief. Systems of medi- 
cine, therefore, claiming to be universal in their scope, as 
they are necessarily false, must be of the most injurious prac- 
tical influence, and, though often attractive to the inexperi- 
enced by their apparent beauty and labour-saving promises 
should be discarded as sweetened poisons poured into the 
very fountain of life. It is a most grateful reflection, that the 



PREFACE. 11 

present tendency of the enlightened part of the profession is 
in an opposite direction. Medical men have at length begun 
to enter the Baconian path. It is now becoming the fashion 
to observe accurately and extensively, to collect facts abun- 
dantly, to sift these facts by a most rigid scrutiny, to compare 
them with the greatest care, and to draw no inference which 
is not so hedged round by various defences as to be almost 
unassailable."* 

Although the above extract contains some views with 
which I may not be able fully to agree, yet to the most of 
them must be accorded the acknowledgment that they are 
perfectly true. But as these remarks are not intended as a 
criticism upon the lecture, I shall not enter into any exami- 
nation of these points, but shall proceed at once to inj^yaduflj^,. 
some other passages from the lecture, which, as alrfe^Vi^-^f^h. 
marked, when considered in connection witn^.tne passage 
already quoted, exhibit the necessity of constant watdbfurness. 
not to wander from the Baconian path. \v 

"It is true," says the lecturer, "that the homoBopathists or 
disciples of Hahnemann are said to be making considerable 
impression on the community ;" — " but the profession itself 
has not become contaminated, and none but a few of pecu- 
liarly excitable imaginations are ever likely to yield up their 
judgments to its monstrous absurdities. I feel that it is 
wholly unnecessary for me to guard you against a doctrine, 
which prescribes, for the cure of each particular disease, the 
medicine most closely imitative of the disease in its effects 
upon the system ; and recognises the greatest curative effi- 
ciency in doses, no matter of what medicine, varying from the 
millionth to the decillionth of a grain. Luckily for the dupes 
of this imposture, the enormity of the first branch of the hy- 
pothesis is neutralised by the almost inconceivable folly of the 
second." 

"It would be folly to deny that patients recover in the 
hands of the homceopathists ; and I believe that a much larger 

* Introductory Lecture to the course of Materia Medica, delivered 
in the University of Pennsylvania, November 6, 1837. 



12 



PREFACE. 



proportion recover than under the treatment of irregular prac- 
titioners in general. Nay, I will go further, and admit that a 
disciple of Hahnemann may be more successful than a very 
ignorant and unskilful physician, even though the latter may 
take rank in the regular corps. But what is the real cause 
of this apparent success ? I have too good an opinion of 
your common sense to suppose, that you can for a moment be 
disposed to ascribe it to the infinitesimal doses administered to 
the patient. Can any one of you possibly believe, that the 
decillionth of a grain of any medicine kept in the shops, a por- 
tion far too minute to be visible to the naked eye, and which 
the most powerfully magnifying microscope would be insuffi- 
cient to detect, is capable of producing the slightest impres- 
sion on the system ?" 

Philosophers, at the time when Bacon lived, were very 
much in the practice of deducing the facts in nature from 
their imaginations, opinions or reasoning. It was the desire 
of this philosopher to correct a practice so little adapted to in- 
crease the amount of knowledge, and so well calculated to 
lead into error. Let us see how far the learned professor, 
whom we have just quoted, has wandered from the path of 
which he approves. We find that he considers it unneces- 
sary to guard the medical class against a belief in the facts 
of the cure of diseases by remedies which can cause similar 
diseases, and by the operation of infinitesimal doses, because of 
the enormity of the former and the folly of the latter fact. 
From any belief in these preposterous facts the common sense 
of the students is to save them. Here the lecturer expresses the 
opinion that the common sense of young men, whose feet have 
just for the first time pressed the threshold of the temple of 
natural science, is sufficient to enable them to decide upon 
what are the facts in nature. All are not possessed of com- 
mon sense of this kind which introduces them at once to 
truth in science by some other way than < : the straight but 
narrow and laborious path of observation and experience." 
And those who do not possess it will be very likely to doubt 
its possession by others, especially when they study its bear- 
ings, and reflect that if common sense will enable a lad to tell 



PREFACE. 13 

vvluit dose oi' medicine will not operate, it must also favour 
him with the knowledge of what dose will operate. And if 
common sense teaches what dose operates, does it not com- 
municate the idea of some action which constitutes this 
operation 1 Or, in other words, does common sense com- 
municate the word operate to the mind of the student, or does 
it communicate an idea of the operation? If the former, it is 
an oracle only for the dose ; if the latter, the student is able 
not only to tell by his common sense the dose which will 
operate, but how it will operate, what peculiar symptoms 
constitute its operation, &c. 

It is needless to expend many words on this matter, as it is 
clear that the lecturer is inconsistent, in first denying more 
than one path to truth in science, and that a narrow and 
laborious one, and afterwards recommending a highway so 
broad and easy as common sense. It is to be hoped that this 
example may answer the purpose for which it is here intro- 
duced, of showing to us, in a prominent point of view, the 
strange inconsistencies into which we may run, if, while 
we recommend the Baconian path, we allow prejudice and 
common sense, instead of observation and experience, to 
decide on what are the facts in nature. 

Whenever a person, who is unacquainted with the science 
of medicine, urges the enormity of the doctrine of curing a 
disease by "the medicine most closely imitative of the disease 
in its effects upon the system," he is to be excused, because 
his ignorance of facts in medicine is pardonable. It is not 
his business to be acquainted with them. And if he talks 
foolishly, as most men do when they attempt to talk learnedly 
of those things of which they are ignorant, he only deserves 
the rebuke ; " ne suior ultra crepidam" But the case is 
different in respect to the physician whose business it is to be 
acquainted with facts in medicine. If he is ignorant of these, 
he is censurable, because his patients and the public may 
suffer from his ignorance. And if being acquainted with 
them, he draws erroneous deductions from them in support 
of error or in opposition to truth, it becomes the duty of 



14 



PREFACE. 



others, while they may lament the error, to assume the un- 
pleasant task of exposing it. 

It is well known that purgatives often cure diarrhoea, and 
that emetics sometimes subdue vomiting. It is not impro- 
bable, therefore, that every physician who proclaims the 
enormity of the principle similia similibus curantur, has 
been guilty of the enormity of giving medicines for the cure 
of a disease very similar to that which they produce. What 
is purgation but diarrhoea or a very similar disease ? The 
explanation that purgatives remove the acrimonious or irri- 
tating contents of the bowels, which the previous disease was 
insufficient to effect, gives them no support. For admitting 
the supposition of the presence of irritating matters in the 
bowels, these, when not the ingestse, must be morbid secre- 
tions, from disordered action in the secretory vessels which 
must be corrected before the disease can be cured. It is 
therefore evident that the remedy which cures the diarrhoea 
must also cure the disorder of the secretory vessels. Now, 
that purgatives do act on these vessels, no physician will 
have the hardihood to deny ; and the effect of this action as 
closely resembles the original disorder, as the purgation re- 
sembles the diarrhoea. If, then, the cure of a diarrhoea is 
effected by a purgative, is it not a "medicine most closely 
imitative of the disease in its effects upon the system," which 
has removed the disease ? 

To the physician who views this subject dispassionately, 
the enormity of the homoeopathic doctrine will not appear so 
very glaring; especially when, in addition to the matters just 
mentioned, he recollects the fact, that if a medicine be found 
to operate positively and decidedly upon any organ, it is very 
soon experimented upon in various diseases of such or«an. 
Thus, secale cornutum being found to exert a powerful action 
on the uterus during parturition, it has been tried in almost 
every variety of disease of that viscus. And this is done 
because it does not appear to be a very great enormity to sup- 
pose that the remedy should act upon the diseased part. 

As morbid action in any tissue or organ is mostly known 
only by the symptoms or sensations produced by such morbid 



PREFACE. 15 

action, and as these symptoms or sensations differ in seat or 
character as different parts are affected, it may be presumed 
that, when the same symptoms and sensations appear, the 
same parts are affected ; and that if a remedy produces the 
same symptoms as a disease, it acts upon the parts affected by 
the disease. Whether it is more proper to give a remedy 
which thus acts, or one that operates upon a distant part, is, 
after all, a matter for experience to decide ; and as my own 
observation and experience are very much in favour of the 
former, I think it right to recommend the treatment of dis- 
eases by remedies which are capable of producing similar 
symptoms. 

For the proper modes of proceeding in the treatment of dis- 
ease on homoeopathic principles, the physician is referred to 
the Organon, which has been translated into the English 
language. For the prosecution of the practice, the works on 
the Materia Medica are proper ; but as these are not yet 
translated, the physician can employ Jahr's Manual as a very 
valuable substitute, until they can be placed in his hands, 
which I have reason to believe will shortly be done. 

Before concluding this preface, it will be proper to acknow- 
ledge the important aid I have received from the works of 
Haas, Glasor, and Riickert, in their references to cases. But 
the cases have all been examined in, and translated from the 
original reports in the Archiv, Annalen, or other works, 
except a few which were contained in books that were not in 
my possession : these I have translated from Riickert's The- 
rapie. To Hartmann's Therapie I have been frequently 
obliged for information, especially on diseases in relation to 
which the information to be derived from other sources was 
very deficient. 

The plan of this work, though most nearly resembling 
that of Riickert, is different from his or any other : whether 
it is preferable, is to be decided by those who shall be ac- 
quainted with both. An alphabetic arrangement of the lead- 
ing articles has not, however, enabled me to dispense with a 
general index, though it will often obviate the necessity of 
a reference to the latter. It will be observed that inflamma- 



16 PREFACE. 

lions of important organs are, with a few exceptions, treated 
of in the articles headed with the English names of the 
organs. The reason why I have chosen the English appel- 
lations of these organs is, that they are those which are ap- 
plied to them by the professors of anatomy in our medical 
schools. In doing this, and in adopting, except in a few 
instances, the most commonly employed names of diseases, I 
have been actuated by the desire of rendering this as con- 
venient a work of reference to the physicians of this country 
as possible. 

The abbreviations of the names of the remedies will be 
readily understood, but those which express the dose may 
need some explanation. In marks like the following, 2| 12: 
the figure on the left of the line designates the number of 
pellets, and that on the right, the dilution. The mark gtt. 
means a drop or drops, while gr. means a grain or grains in 
weight. The number of grains or drops is shown by the 
figure immediately following ; and the second figure desig- 
nates the dilution or trituration. Thus, gtt. i. 6 expresses a 
drop of the sixth dilution, or gr. i. 3 a grain of the third 
trituration. 

For the valuable remarks and cases which are marked G. 
or Green, and which are included in marks of parenthesis, I 
am indebted to Doctor Jonas Green. 

The cases marked J. are from my own practice. 



HOMCEOPATHIC 



PRACTICE OF MEDICINE 



ABORTION. 



When the symptoms which accompany the process 
of abortion make their appearance, the proper treat- 
ment consists in the employment of those means 
which may arrest its progress. The remedies which 
have been found most successful in effecting this 
object, are: cham.,ferr., ipecac, sabin. 

The physician is often not called until abortion has 
occurred, or the process is so far advanced that it 
must ensue. But, even in the latter cases, the ad- 
ministration of the proper remedies for arresting 
abortion is not improper, as the primary operation of 
these may expedite the completion of the process 
and diminish the sufferings of the patient, 

Where abortion has actually taken place, the treat- 
ment must be directed against its unpleasant con- 
sequences. The most common and important of 
these is uterine hemorrhage, which may be sup- 
2 



18 ABORTION- 

pressed by cham., crocus, salina, secal, calcis carb. 
Other consequences of abortion or of its accompany- 
ing hemorrhage must be attacked by the remedy 
adapted to the peculiar morbid condition. Thus, 
bellad. 2|30 has removed debility, paleness, heat in 
the head and body, palpitation of the heart, thirst, 
pressing in the head, constriction of the breast and 
restlessness occurring in a patient after abortion. 
And bryon. has cured dulness of the head and con- 
stipation supervening miscarriage. 

In many instances, abortions occur in a number of 
successive pregnancies, and frequently at the same 
period of gestation in each. In some instances it has 
occurred in every pregnancy. There must exist, in 
these cases, a morbid predisposition to abortion. The 
removal of this predisposition is often within the power 
of homoeopathic medicine, which is not merely capable 
of sometimes arresting the process when it has com- 
menced, but can also, and perhaps with even greater 
certainty, prevent its commencement ; except under 
such circumstances as would generally induce abortion 
in persons who possessed no uncommon predisposition 
to it. The remedies employed for this purpose are 
sabina and secale. Nux v. and cinch., in alternation, 
were employed successfully in a case, by Hartmann. 
But in some cases the uterine disorder upon which 
this predisposition depends, may be sustained in spite 
of these remedies, by its association with other chronic 
morbid conditions of the system, and hence other 
remedies may be requisite. In these instances, when 
there is a hemorrhagic disposition in the vessels of the 
uterus, calcis carb., carb. veg., or lycopod., may be 
indicated ; but where there is no evidence of a hemor- 
rhagic disposition, sepia, silex or zinc. 



ABORTION. 19 

Chamomih Case. In the seventh week of preg- 
nancy, chill, restlessness, labour pains and some 
bloody discharge; from taking cold. Cham. gtt. i. 2, 
speedily removed the threatening symptoms. Perfect 
rest and a repetition of the dose after forty-eight hours 
completed the cure. 

Ferrum arrested abortion, marked by fever, labour 
pains, and some bloody discharge. 

Ipecac. 2, followed by sabin. gtt. i. 15, effected the 
same result in. a case similar to the one relieved by 
ferrum, occurring in a woman in whom abortion 
had occurred in the fourth month in three successive 
pregnancies. 

Sabina. Case. To a woman of tender and irritable 
constitution who had repeatedly miscarried before the 
third month, sabin. gtt. i. 12, was given as soon as 
she found herself pregnant, and every month till the 
eighth the sabin. was repeated. In the fourth month, 
after violent mental emotion, labour pains without 
hemorrhage appeared, but were speedily removed by 
sabin. gtt. i. 9. At the proper period she gave birth 
to a perfect and healthy child. 

(In several cases of threatened abortion, at different 
periods of pregnancy, I have promptly arrested the 
symptoms by the administration of sabin. 30. G.) 

Secal 12, given on the first cessation of the menses 
and repeated every fourteen days, till the period at 
which abortion usually occurred had passed oyer, 
has, it is said by Hartmann, prevented abortion in 
many cases. 

In a case of profuse hemorrhage after abortion, 
where the patient appeared almost exsanguine and ex- 
cessively debilitated, secale in a low dilution promptly 
arrested the discharge. The patient fell into a tranquil 

2* 



20 



ANGINA STRIDULA. 



sleep, from which she awoke after some hours, much 
refreshed. 

ANGINA STRIDULA. CROUP. 

Angina trachealis. Cynanche trachealis. Angina menibranacea. 

" The symptoms of angina membranacea are found 
reflected in the Materia Medica Pura, among the 
symptoms which spongia usta and calcis sulph. pro- 
duce : and I have discovered that these in alternation, 
and in the smallest dose, cure this fearful disease of 
childhood." — Halmemann. 

" Homceopathia has discovered a very valuable ap- 
plication of the spong. ust. against that fearful disease 
of childhood termed angina membranacea. The di- 
minution of the local inflammation by the previous 
use of aconit. is requisite. The collateral employment 
of calc. sulph. will, sometimes, be found unnecessary." 
— Ibid. 

Case. A boy, set. 8 ann. of tender and delicate 
constitution, was attacked, after exposure to a current 
of cool air, with hoarseness, pain in the throat, dry 
cough with a harsh sound, and at night febrile heat. 
He continued to grow worse, with morning remissions 
and evening exacerbations, till the evening of the 4th 
day, when he had a severe chill, followed by hot 
fever. 

The cough had a deep sounding tone, the voice 
hoarse and utterance inarticulate. Towards mornino- 
perspiration broke out, with a slight abatement of the 
violence of the symptoms. At noon a new exacer- 
bation so violent, that the parents, who had been de- 
ceived by the morning remissions, sent in great haste 
for Dr. Gross, who saw him towards evening. The 



ANGINA STRIDULA. 21 

child then had the loud shrill breathing characteristic 
of croup. His head bent back — stupor : violent heav- 
ing of the chest in inspiration, with strong action of 
the shoulder blades. At intervals he raised himself 
suddenly up, seized with great anxiety whatever was 
nearest to him in order to obtain support and relieve 
his breathing : then succeeded dry coughing with a 
rough stridulous sound, much heat and thirst, though 
drinking always excited fresh attacks of cough ; the 
pulse was mostly hard, but at times weak and inter- 
rupted ; the urine red ; bowels not open. With the 
difficulty of the respiration, the countenance became 
deep red or livid ; the carotids pulsated violently : 
and cold clammy sweat appeared on the forehead and 
temples. After each paroxysm of coughing, the patient 
moaned and touched his throat as if pained there : 
over the larynx a red elevated spot appeared about 
the size of a penny. Efforts to vomit, and sometimes 
even vomiting, occurred, especially after coughing. 

Treatment. Calc. sulph. gr. i. 2. was immediately 
administered. Dr. G. remained all night with the 
patient, and observed that in three hours all the symp- 
toms, which in the natural course of the disease must 
have been aggravated, were evidently subsiding ; and 
in the morning, there was a marked remission. At 
the end of sixteen hours, tr. spong. ust. gtt. i. 10 was 
given, and some time after a smaller dose of calc. sulph. 
On the third day the child was allowed to go out, 
there being only a slight hoarseness left, which passed 
off the next day, leaving the child perfectly well. 

Dr. Ttummel cured numerous cases of croup with 
aeon. gtt. i. 24, followed six hours after by tr. spong. 
ust. gtt. i. ; and two days after for the remaining 
hoarseness calcis sulph. gr. i. 2. He concludes his 



22 ANGINA STRIDULA. 

remarks by observing that so far as his experience 
goes, the homoeopathic treatment is certain ; for all 
patients submitted to it have recovered rapidly — " I 
reckon, (says the doctor,) the efficacy of aeon., calcis 
sulph. and spong. to be the most certain that practical 
medicine can show." 

Dr. Stapf also says that he has convinced himself, 
in many very serious cases of croup, of the eminent 
curative efficacy of the smallest doses of aeon., spong. 
usta and calcis sulph. 

In the power of these remedies, Dr. Hartmann and 
all other practical homceopathists fully concur. 

Phosphorus proved highly serviceable in a case of 
croup, where, notwithstanding the administration of 
the aconit, spong. and calc. sulph. the patient still re- 
mained in great danger. Phosph. 3|30 was given in 
alternation with calc. sul. and spong. with an interval 
of half an hour between the doses. After the third 
dose of phosph. there was considerable aggravation, 
followed by some expectoration and speedy relief. 
Dr. Gross, who treated this case, remarks that "it 
was the worst case of croup which he had observed. 
In all other cases, even those attended with great 
danger, he had always succeeded with the previous 
medicines." 

Nearly allied to croup is that disease of the re- 
spiratory organs described by Hartmann and other 
German writers under the title of Asthma Millari. It 
is a sporadic disease, and has a very distinct forming 
stage : there is no important pain ; and the cough, 
when present, is more dry, dull and hollow, than that 
of croup, with little fever. This disease depends es- 
sentially on a spasm of the lungs, and generally makes 
its attack in the winter or after taking cold. Some- 



ANGINA FAUCIUM ET ANGINA TONSILLARIS. 23 

times the catarrhal symptoms are slight, with attacks 
of severe suffocation, which intermit; the voice is 
hoarse, and swallowing difficult, 

Sambucus is the appropriate remedy when, upon 
awaking, the patient, with half-shut eyes, can scarcely 
breathe, must sit up, and then breathes in a very hur- 
ried manner with a shrill piping sound, as though 
suffocating-. He throws his arms about : his face and 
hands become bluish and tumid ; he is hot but not 
thirsty. Whining attends the paroxysm, but seldom 
is there any cough. 

Sambuc. in doses of a drop of the diluted juice, 
has afforded speedy relief. 

Hartmann also recommends ipec. in repeated doses, 
ignat., puis., nux, opium and mosch. 

ANGINA FAUCIUM ET ANGINA TONSILLARIS. 

Cynanche faucium. Cynanche tonsillaris. Inflammation of the throat. 
Inflammation of the tonsils. 

Bettad. is the most important remedy for the treat- 
ment of inflammation of the throat and tonsils. When 
the inflammatory fever is considerable, it should be 
preceded by aconit. There are, however, many 
forms of the disease which demand other remedies. 

Barijtes carb. 3|30 cured in two days an angina 
tonsillaris, in winch bellad. proved of little service. 

Cham, is the proper remedy, when the inflamma- 
tion of the fauces is accompanied by a sticking, burn- 
ing pain in the top of the throat, with some hoarseness 
of the voice, tightness of the chest, tickling irritation, 
and hacking cough. 

Dulcam. is useful in inflammation of the throat 
accompanying catarrh. 



24 ANGINA FAUCIUM ET ANGINA TONSILLARIS. 

Ignatia has been employed with advantage when 
the tonsils were swollen and inflamed, with many 
small ulcers on their surface ; tongue coated with 
tough white mucus ; sticking pain extending to the 
ears, especially whilst swallowing. 

Merc. gr. i. 2. Fauces reddened but not swollen : 
pain in the throat : pain in the parotids and in the 
muscles on the sides of the neck ; frequent hawking 
up from the fauces of lumps of mucus ; fever. 

Merc. 2|12 cured an inflammation of the throat so 
considerable that it required great exertion to speak 
or swallow ; and attended by salivation. 

Merc. 1|12. Pressing, sticking pain in both tonsils 
increased on swallowing, and extending to the ears. 
Tough mucus, with a disagreeable taste in the mouth 
and throat, causing constant spitting. Bad odour of 
the breath. Great dryness of the mouth and throat, 
constant thirst, disagreeable eructation, constipation, 
hot skin. 

Merc. In a case where with many of the above 
symptoms there was a hateful mercurial odour of the 
mouth. 

Merc. In chronic and habitual inflammations of the 
throat, which are aggravated by cool air and worse in 
the night, with sticking pain on empty swallowing. 

Nux v. In angina uvularis, and also in a. tonsil- 
laris when this is connected with catarrh. 

Pulsat. when the colour of the inflamed parts is of a 
dark instead of a bright red, and there is a varicose 
condition of the vessels. Also in angina accompany- 
ing catarrh. 

Mangan. acet., rhas and sabad. have also been found 
useful in angina; sepia is recommended against the 
disposition to frequent return. • 



ANTHRAX. ANUS. APHONIA. 25 

ANTHRAX. 

Arnica 1.2 has cured this disease in three days. 

Arsen. Anthrax returning periodically in the 
spring of the year. 

Nux v. with the aid of arnica has proved useful. 

Silex. Case. A woman sixty years of age was af- 
fected with an anthrax, which removed nearly the 
whole of the integuments of the spinal process of the 
fourth cervical vertebra, accompanied with great and 
general debility. 

By means of silex, and daily washing with pure 
water and dressing with dry lint, the disease was 
entirely cured in three weeks. 

ANUS. 

Ani prolapsus. In a boy set. 2 ann. after diarrhoea. 
The prolapsed intestine blackish, painful on being 
touched, stools only discharged by strong pressure. 
Merc, effected a cure. Ignatia has also removed the 
disease. 

Fistula in ano. Calcis c, carbo veg., nux v., 
sulph., have been employed in this disease with 
advantage. 

APHONIA. 

Loss or imperfection of voice. 

Inability to speak, in a febrile disease, with some 
affection of the throat ; bellad. 30 : in a quarter of an 
hour the power of utterance returned, then sleep, 
perspiration and a restoration to perfect health ensued. 



26 



APHONIA. 



In another case phos. effected a cure. Hijosc. was 
found useful in the case of a girl twelve years old, who 
had been affected with chorea St. Viti, attended with 
an inability to articulate, as though the vocal organs 
were paralysed. The next day she was well. 

Bellad. gtt. ss. 30. and afterwards hryon. gtt. ss. 30. 
cured a case of hoarseness with inability to speak 
aloud, from taking cold after measles. 

Carb. veg. is useful in hoarseness which commonly 
appears in the morning upon awaking, and is then 
the worst, also reappearing in the evening : better in 
warm, but worse in moist, cool weather : aggravated 
by loud or long continued speaking and by exposure 
to cold ; and sometimes accompanied by considerable 
tickling in the throat. 

I have employed this remedy with the most bene- 
ficial effects in hoarseness such as above described, 
accompanied by pain in the larynx on swallowing. 

Drosera has speedily cured hoarseness and chronic 
cough remaining after measles. 

Dulcam. Hoarseness from taking cold. 

Manganes effects much good in the hoarseness 
which accompanies coryza, and which often remains 
after the latter has disappeared. Also where hoarse- 
ness frequently appears without coryza, indicating an 
habitual disorder of the larynx. 

Pulsat. Hoarseness with pain in the throat. 

Plwsph. Sudden disappearance of the voice, only 
capable of speaking in a whisper, existing in a com- 
plicated case of chronic disease, was removed by 
phosph. 1|30, and the other symptoms improved. 

Sulph. has proved useful in chronic hoarseness 
from taking cold. Also hoarseness remaining after 
measles. 



APHRODYSIA. APHTHAE. 27 

Tr. acris has frequently cured, when the voice 
was so low as scarcely to be understoood. 

Besides the above remedies, the following have 
proved useful. Arsen., calcis sulph., lack., mere, plat, 
soda, mur., spong. 

APHRODYSIA. 

Functional disorders of the organs of generation. 

Satyriasis, nux v. cinch., camph. Priapismus, 
pulsat. Oneirogmos, aconit. acid, phos., conium, 
pulsat. Impotentia, with sexual desire but absence 
of erection, camph., acid, mur., cinch.; I. from exces- 
sive venery. acid. ph. ; I. from onanism, conium, 
lycopod., sepia. ; I. with erection without seminal emis- 
sion, magnes. pol. austral. ; I. with induration of the 
testicles; hjcopod., graphit., sulphur. 

Nymphomania, platin., dulc, verat. ; sterilitas, 
cannab., calcis carb., phosph. 

APHTHAE. 

The following remedies have been found peculiarly 
useful in aphthous affections. Acid, sulph., borax., 
sulph. Where the disease is very troublesome in the 
throat : mere. Where the aphthse are of a dark colour : 
arsen. 

(An infant, five or six months old, had been afflict- 
ed with aphthse almost from its birth. When I saw 
the child, it was extremely emaciated, and very fretful 
both night and day: it had frequent fetid, watery 
discharges from the bowels, and the secretions from 
the aphthous surface were so irritating, that they exco- 
riated the nipples of its nurse, and left them in a 



28 APOPLEXIA. 



state of ulceration. By means of acid, sulph. 30, 
given both to the mother and child, a complete re- 
covery took place in the space of two weeks. G.) 



APOPLEXIA. 

A. sanguinea. After apoplectic and paralytic affec- 
tions, there is almost invariably a diminution of the 
intellectual faculties, and not unfrequently mental de- 
rangement. The following case illustrates the most 
common symptoms of this disease and their treatment. 
In a plethoric man sixty years of age, of cholero-san- 
guineous temperament, there occurred, coma, stertor, 
dilated pupils, froth at the mouth, quivering of the 
lips and full hard pulse — Bleeding had been resorted 
to; then ipec. 6. gtt. i. every two hours till three doses 
were taken, which was followed by vomiting of bile 
and mucus, and a discharge of fseces and urine. 
Voluntary motion and sensibility returned. Bellad. 
was now given to remove the remaining apoplectic 
condition. For the mental disorder, depraved vision 
and other symptoms am., stram., hyosciam. and mere. 
were given, which effected a perfect restoration to 
health. 

As a preventive, when premonitory symptoms of 
this disease occur, aeon, is unsurpassed. Schubert re- 
commends in proper cases eoffea for the same purpose. 
Hartmann says, that those remedies, which are most 
useful in the treatment of the disease act also as pre- 
ventives 1 : viz. aeon., nux., eoffea., bellad., ipec., arnica. 

In the apoplexy of advanced age, bellad. has proved 
eminently useful, even when administered as the first 
remedy, though as a general rule it ought to be pre- 



APOPLEXIA. 29 

ceded by aeon., ipec, am., coffea, opium, or some other 
remedy. 

Haas mentions the case of a person eighty-four 
years of age, who was cured by three doses of baryt. 
acet. 1|1 and 1|2. Hartmann speaks of baryt. carb. 
as a useful remedy. 

Dr. M. Miiller recommends am. as a highly valu- 
able absorbent remedy for the removal of the extrava- 
sations which so frequently occur in apoplexy. The 
tr. arnica, gtt. i. 9, to four ounces of water, has been 
applied externally to the head for this purpose, with 
the happiest results. 

A. nervosa — characterised, according to Hart- 
mann, as follows : It occurs in sensitive nervous 
systems, after debilitating causes or depressing pas- 
sions, is preceded or accompanied by twitching and 
trembling of the lips and limbs, drawing and pain in 
the neck, hips and extremities, sinking or distortion 
of the eyes, contraction of the pupils, interrupted 
sleep, gnashing of the teeth, ringing in the ears, dys- 
phagia, obstinate constipation, great debility, syncope, 
a small and commonly a slow pulse, pale sunken 
countenance, with pointed nose and hollow eyes, res- 
piration not rattling or stertorous. This condition 
often passes into lethargy, palsy, and mental or other 
nervous derangements. Merc, bellad., am., coffea, 
hyos., stram. are the chief remedies. 

Accompanied by great gastric and hepatic derange- 
ment, nux v., Iryon., ignat. and ipec. are to be em- 
ployed according to their respective indications. 

A. serosa is best treated by means of am., ipec, 
dig. and mere Lauroceras is mentioned as likely to 
be a remedy of great utility, and Hartmann recom- 
mends carb. veg. 



30 ARTHRITIS. 



ARTHRITIS. 



When the symptoms of gastric derangement are 
most prominent, the appropriate remedies will be 
found among those, which are useful in the removal 
of disorders of the stomach, premising their use, when 
inflammatory fever is present, by the administration 
of aeon. Among these, nux v., bryon., pulsat., ignat., 
cham., bellad., cinch., antim. crud., and sulph., deserve 
especial consideration. 

A. nodosa. Ledum and staph, are indicated. Schu- 
bert mentions that he has derived advantage from 
aurum, digitalis, bryon., nux v. To remove the concre- 
tions, Hartmann has successfully used tr. acris, repeat- 
ed every eight days, till five or six doses were taken. 

A. vaga. Pulsat. and sabin. are proper. 

A. in a chronic form with diminished secretion of 
urine, sarsap. A. with exacerbation on becoming 
warm in bed, ledum. A. with exacerbation in the 
morning, nux v. — in the evening pulsat. A. with 
exacerbation or first appearance of pain, on moving 
the affected part, bryon. A. with amelioration of pain 
by the exposure of the affected part to cool air, pulsat. 

Chiragra, staph., mere, mgs., magnes. aus. 

Gonagra, bryon., coccul, tr. acris, led., cinchon. and 
puis. When the pain is flying, sticking, puis., coccul. 
When at the same time the foot as well as the knee 
is swollen, cinchon. 

Ledum has been known to cure a case of hard gouty 
swelling of the knee in less than twenty-four hours. 

Podagra, the foot being swollen and hot, bryon. 
When the pain is confined principally to the great 
toe, led., am., sabin., verat. 



ASTHMA. 31 

When stiffness of the knees, which prevents squat- 
ting down, remains, sulph., coloc or graph, may be 
indicated. The following are recommended by Hart- 
mann in arthritis, without stating the particular indi- 
cations for their use. Rhus., dale, con., spang., slann., 
sir am., guaiac, arsen., chelid., calcis acet., rhododend. 



ASTHMA, DYSPNCEA, &c. 

Ambra has been employed with advantage in 
asthmatic affections, especially in children and in 
scrofulous subjects. 

Ammon. c has operated very beneficially in asth- 
matic disorders, and especially in those combined with 
hydrothorax. 

Arsen. Case occurring in a young man from fatigue 
and exposure to cold. In stormy or moist weather, or 
from warm and tight clothing, or by change from 
warm to cold, or by rapid walking, or even by laugh- 
ing or walking against the wind ; paroxysms of con- 
striction of the breast, or loss of breath, which com- 
pelled him to stand still. At the same time he felt 
anxiety and pressure in the breast ; was alternately 
cold and hot. These symptoms began to abate as 
soon as he began to expectorate a white frothy mucus, 
and gradually disappeared. If during the paroxysm 
he entered a warm room, its severity was increased. 
The disease was of five years' duration, and no medi- 
cine had afforded him any relief. Arsen. 6|30 in six 
ounces of water: a table-spoonful daily, had almost 
cured him, when rapid walking induced a slight 
relapse. Three doses of arsen. 3|30 were given at in- 
tervals of eight days, by which he was perfectly cured. 



32 ASTHMA. 

In a man set. 32 ann. Tightness of the breast — he 
felt as if he never had sufficient air in the lungs. 
Pain and pressure at the epigastrium as if too much 
compressed. By every movement, loss of breath with 
anxiety and debility. The disease was of one year's 
duration, and was complicated with cephalalgia, gas- 
tric derangement, inability to sleep at night on ac- 
count of cough and dyspnoea, great debility, and 
anxiety and depression of mind. After a single dose 
of arsen. the disease gradually disappeared, so that at 
the end of four weeks he was well, without the aid of 
any other remedy. 

Arsen. 5|30 cured a case in which the paroxysms 
appeared mostly at night, and at the farthest every 
three weeks. Constriction of the breast and trachea, 
great anxiety, inability to lie down, decline of the 
symptoms on the occurrence of expectoration — com- 
plicated with flatulent colic and abdominal cramps. 

Arsen. 1|30 cured asthma of eight years' duration. 
Wheezing expiration on lying down at night, con- 
strictive pressure in the breast and trachea, compelling 
to sit up and lean forward, with anxiety and general 
sweat, continuing till after midnight ; afterwards light 
slumber interrupted by frequent waking with burn- 
ing pain or soreness in the breast. 

Bellad. is useful in some asthmatic affections, espe- 
cially in irritable constitutions when there is a dis- 
position to convulsions, and particularly in females. 

In the case of an old man affected with dyspnoea, 
inability to lie down on account of oppression of the 
breast; dry cough day and night — vertigo; gastric 
derangement; and constipation ; bellad. proved useful. 

Bryon. In a case of sixteen years' duration. Asthma 
occurring towards morning, with inability to lie on 



ASTHMA. 33 

the right side during the paroxysms, relieved by sitting 
up, but aggravated by walking. Complicated with 
dyspepsia ; alternating costiveness and diarrhoea ; and 
periodic flatulent colic occurring about two or three 
o'clock in the morning. Bryon. 10, followed in fourteen 
days by mix v. 20, and continued in alternation in 
smaller doses, effected a perfect cure in less than eleven 
months. 

Cannab. 2|30, a dose daily for a week, effected a cure 
of periodic asthma in a man set. 60 ann. During the 
paroxysm he had to stand with his body slightly bent 
forward, at an open window, to prevent suffocation. 
Nux v., sulph., sepia, potass, c. had been previously 
employed with only temporary benefit. 

Cham, is adapted to the oppression of breast and 
suffocative attacks from exposure to cold, as also to 
the asthmatic symptoms accompanying flatulent colic 
in children. 

Colchic. has proved useful in asthma. 

Cuprum. Case in a woman set. 30 ann. Constant 
dyspnoea with a sensation as if the clothes were too 
tight over the epigastrium, shortness of breath on 
walking fast or going up stairs. Paroxysms com- 
mencing generally with singultus. Such oppression 
at the breast that she could not speak and could 
scarcely breathe. Face red, tumid, and covered 
with hot sweat. Respiration rapid, with a whooping 
sound and almost spasmodic action of the abdominal 
muscles. When the paroxysms, which endured half 
an hour or longer, had attained their height violent 
convulsions occurred. The attacks were excited by 
fright or grief, and most readily about the commence- 
ment of menstruation, which was more copious and 
longer continued than it had. been while she was 
3 



34 



ASTHMA. 



healthy. When the paroxysms commenced she could 
not sit up, but had to hasten to lie down. The patient 
was of an anxious and timid disposition. Cuprum 30, 
and at the end of four weeks she was nearly well, only 
at the access of the menses she still had a perceptible 
disposition to convulsions ; mere. gr. i. 2 with return 
of strength and cheerfulness, as also of the menses to 
their normal quantity and duration. A paroxysm 
subsequently occurred from the inhalation of the dust 
of verdigris, but mere. gr. i. 3. repeated after fourteen 
days effected a perfect cure. 

Cuprum has also relieved a spasmodic oppression 
of the breast in children after exposure to cold. 
Dyspnoea, short, rapid, superficial respiration, with 
spasmodic cough, and rattling of mucus in the breast. 
Pain in the epigastrium on pressure, oppression in- 
creased on lying down in the evening. In the pa- 
roxysms of coughing, wheezing inspiration. 

Ipecac, is an important remedy in the treatment of 
that form of oppression of the breast, in children, 
which has been termed Asthma Millari. See the 
conclusion of the article angina stridula. 

It has also cured a spasmodic asthma occurring at 
night. It was given every evening for four weeks in 
the dose of gtt. i. 3. 

Lachesis. Case. In a man aet. 60 ann. Waking 
up, after midnight, with oppression of the breast, and 
slow, difficult and wheezing respiration. He had to 
rise from bed and sit leaning forward. Lach. 1|30 
removed the asthmatic affection. 

Lobelia inf. In the case of a married lady set. 38 
ann. the mother of several children. She had suffer- 
ed since her childhood from dyspnoea, increased by 
any active exertion, by going up or down stairs, by 



ASTHMA. 35 

exposure to cold, and eating very warm food. Pain 
in the left lumbar region of the abdomen (also from 
childhood). Within the last year, constant burning 
in the stomach and throat, with a sensation of dryness 
in the latter, as also of a lump in the pit of the throat 
which impeded respiration and deglutition. Weak- 
ness and oppression in the epigastrium with other 
symptoms of gastric derangement. Urine of a deep 
red, depositing a copious red sediment. Lob. inf. 
4|6 was given in the evening, and by next morning 
the sensation of lump and burning in the throat, 
together with the dyspnoea, had greatly diminished, 
and in a few days entirely disappeared. The urine 
also became perfectly normal in appearance. She 
has continued well ever since, now more than eight 
months, without perceiving a trace of the asthmatic 
symptoms and pain in her left side, which she had 
experienced from childhood. 

In the case of an unmarried lady, set. 38 aim. 
Asthma for four years. Dyspnoea, her breath so 
short that she could use no active exertion. Dyspnoea 
increased by exposure to a draught of air, by washing 
her face, either in warm or cold water, by eating food 
difficult of digestion, or by trifling exertion. Asthmatic 
paroxysms, occurring most commonly at ten or eleven 
o'clock at night, next in frequency in the morning ; 
but sometimes at other periods of day or night. The 
longest interval between the paroxysms was a week ; 
and there never occurred more than two in twenty- 
four hours. At the commencement of the paroxysms, 
frequent hacking cough, without expectoration, which 
became almost spasmodic, and was accompanied by a 
tolerably copious expectoration of thin, colourless, 
transparent mucus towards its close. Loud wheezing 

3* 



36 ASTHMA. 

or whooping respiration and hoarseness or flatness of 
the voice when she attempted to speak. Duration of 
the paroxysms from three quarters of an hour to an 
hour. Accompanying them there was a sensation of 
oppression at the epigastrium extending upwards to 
the middle of the breast. She felt also a rattling 
under the middle of the sternum during the attacks. 
At all times she had an aching pain, which was some- 
times also burning and cutting, in the left lumbar 
region midway between the iliac and hypochondriac 
regions, with pain of the same character in the back 
about the lower dorsal vertebra. Pressure at this 
point increased the pain in the left side, but not that 
in the back. The pain of the back extended farther 
to the right side than to the left. Pain in the forehead 
passing round from one temple to the other ; worst in 
the paroxysms. Urine high coloured, scanty, and 
speedily depositing a copious red sediment. Menstrua- 
tion nearly normal. Appetite good ; bowels regular. 
Lob. inf. 12|15 taken at night on going to bed, pro- 
duced great improvement, but on account of the return 
of a severe paroxysm, the medicine was repeated at 
the end of ten days. 

In a few days more the urine was of normal ap- 
pearance. The pain left the back. The disposition 
to violent dyspnoea from exposure to slight cold dis- 
appeared; she could wash herself freely in cold water 
without the slightest inconvenience. The habitual 
dyspnoea was removed, so that she could walk in an 
ordinary gait without being troubled with shortness 
of breath. But the asthmatic paroxysms continued 
to recur, but much more seldom and much lighter, 
and this is the case at the present time. Lob. 6 or 15 
always abates the violence of the paroxysms and 



ASTHMA. 37 

shortens their duration. Within the last six months, 
I have twice had occasion to employ arsen. in her case, 
for the cure of acute diarrhoea, connected with gastric 
disorder, the cause of which was unknown. On both 
occasions which occurred a month apart, the arsen. 
answered the purpose for which it was given, but did 
not appear to alter the asthmatic affection. 

Although the case just narrated is not one of perfect 
cure, yet it appears to me to be still important, since 
the relief is very great, notwithstanding there exists 
a strong family predisposition to the disease in this 
patient. One of her sisters, after suffering for a long 
time under asthma, died of hydrothorax; and the 
daughter of another sister had suffered with asthma 
from her infancy, notwithstanding much active treat- 
ment, until about two months since, when she was 
brought to me by my patient, her aunt. A single 
dos-e of lob. inf. 6|15 without any rigid attention to 
the diet, effected an almost sudden cure. The child, 
now about twelve years old, boasts that it can run 
about as well as its play-fellows. Its general health 
has also strikingly improved. 

The symptoms which I have found most strongly 
to indicate the lobelia, are constant dyspnoea, which 
is increased by slight exertion, and aggravated so 
much by slight exposures to cold, as to form a kind 
of asthmatic paroxysm. A sensation of oppression 
and weakness at the epigastrium, extending upwards 
from thence into the breast, with or without pyrosis 
and cardialgia. A sensation of a lump or quantity of 
mucus, or of pressure, in the pit of the throat. A pain 
extending around the forehead from one temple to the 
other. Pain in the back about the lowest dorsal ver- 
tebra. Pain in the left flank. High coloured urine. 



38 ASTHMA. 

In three other cases besides those just mentioned, 
cures have been effected by single doses of lobelia. 
In one of these the health remained good at the end 
of eighteen months. In another the disease recurred 
after three months, from dissipation and exposure. 
The other case is of but recent date. One case has 
occurred where several doses were required, and 
in this instance the pain in the back, which existed 
from childhood, did not yield entirely to the lobelia, 
but was finally cured by mere. gr. ss. 3, in repeated 
doses. 

I have had sufficient opportunities to satisfy myself 
that the dypnoea of phthisis does not always depend 
entirely upon obstruction or disorganisation of the 
lungs, but that it often is, in part, of the same cha- 
racter as the dyspnoea above described ; for in cases 
which were complicated with gastric disorder and 
sensation of weakness at the epigastrium, lobelia has 
very considerablely lessened the dyspnoea, and im- 
proved the condition of the stomach. J. 

Nux v. In a man set. 44. Case of thirteen years' 
duration. Patient had been under the care of many 
physicians. Dyspnoea on exercise. Upon attempting 
to lie down in the evenings, suffocating asthma ; he 
had to leave the bed, and sleep sitting on a chair. 
Towards morning increased oppression, he could no 
longer sit, must rise from his chair and prop himself 
with his hands against a table, and in this position 
await the termination of an hour-long paroxysm. Sen- 
sation of stricture of the chest, and load on the breast; 
respiration slow, and accompanied with a whistling 
sound. Violent cough, felt painfully in the head and 
abdomen. Loss of appetite, disagreable taste in the 
mouth; flatulent, and acid eructation; nausea, and 



ASTHMA. 39 

dispositon to vomit; distension of abdomen, and press- 
ing pain in the epigastrium ; costiveness : hard black 
stools mixed with blood, and mucus ; alternating with 
most unpleasant diarrhoea with small mucous stools. 
Bloated, sallow countenance. Fretful and easily ex- 
cited to anger, with consequent increase of his 
dyspnoea. 

Patient had used coffee very largely as a palliative. 
After several weeks of homoeopathic regimen nux 
v. 15, with temporary aggravation, and subsequent 
rapid improvement and perfect cure. 

Nux v. is most frequently indicated in the asthmas 
of hysterical and hypochondriacal subjects ; in those 
spasmodic affections of the chest, where turning from 
one side to the other, or on to the back, sitting up in 
bed, or getting up, or lying down, produces some relief; 
in those spasmodic affections of the breast, which are 
produced by anxious dreams at night; also where 
there is a sensation as if the clothes were too heavy; 
and in those which accompany dyspepsia. 

Phosphor, cured an "asthma siccum" which re- 
turned every ten or twelve days with great severity. 

Pulsat. Case in a woman set. 44 ann. accompany- 
ing the cessation of the menses. Cough with little 
expectoraton, accompanied by retching and vomiting. 
Periodic dyspnoea with loss of breath after coughing. 
Great gastric derangement, emaciation, debility. Pul- 
sat. 15 speedily cured the complaint, which was of 
four months' duration. 

Case. In a woman get. 20 ann. Commencing with 
first menstruation. The menses regular as to periods 
of recurrence, but deficient in quantity and pale. 
Dyspnoea increased by motion ; worst from evening 
till two or three o'clock in the morning. Inability to lie 



40 



ASTHMA. 



down in the early part of the night from constriction of 
the larynx ; and if she fell asleep she was speedily 
awakened by a feeling of anxiety, and must sit up to 
escape suffocation. Puis. 12 effected a cure in a few 
days. 

Case. In a child aged eight weeks, from retro- 
cession of a rash. Short and superficial respiration, 
and short hacking cough. Respiration most difficult 
at night and whilst lying down, puis. 2|12 effected a 
cure. 

Case. In a woman set. 22 ann. with suppression 
of the menses from bathing the feet in cold water 
during the flow. A painful feeling passing from the 
stomach into the chest checked the respiration. In 
three days the symptoms increased in intensity until 
they had passed into spasmodic asthma, with constric- 
tion of breast and sensation of suffocation, accompanied 
by excessive anxiety, palpitation of heart, coldness of 
the forehead and hands, and obstinate constipation. 
Puis. gtt. i. 12, and in a few hours ease. There was 
an opening of the bowels, a gentle diaphoresis and a 
pleasant warmth of the extremities. The night pass- 
ed comfortably, with considerable sleep. The menses 
returned, but small in quantity, and in a few days she 
enjoyed her usual health. At the next period the 
menses appeared in their usual quantity and quality. 

Sambuc. n. In Asthma Millari. 

Sir anion, is useful in spasmodic affections of the 
muscles of the chest, accompanied by twitching in 
the muscles of other parts. 

Besides the remedies above mentioned, the follow- 
ing have also proved useful. Colds carb. , dulc. , ferr. , 
sepia, spong., sulph., zinc. 



ATROPHIA. 41 



ATROPHIA. 



Arsen. Case. A female infant, eighteen months 
old, had been affected by this disease three months, 
and was reduced almost to a skeleton; its skin un- 
naturally white, dry, and like parchment : the eyes 
sunken, with dark haloes around them, and con- 
stantly closed; and the countenance expressive of 
great internal suffering. The child showed no desire 
to eat, and if it was forced to take food, this was in- 
stantly discharged. It drank frequently, though but 
little at a time. It commonly laid in a somnolent 
state, with frequent gnashing of the teeth, and moan- 
ing : was restless at night, and seldom had any faecal 
discharges; arsen. 30 was given at intervals of ten 
days, and in four weeks the child became healthy, 
lively, and blooming. 

Case. In a child ten months old. Considerable ema- 
ciation ; skin dry and wrinkled ; lymphatic cords of 
the neck and throat enlarged ; abdomen tumid ; five 
or six diarrhceal stools daily : fasces lumpy, greenish, 
and consisting of undigested food : constant catarrh ; 
frequent, loose, harassing cough at night, and often 
in the day : slept much, was obstinate and fretful : 
little appetite, vomiting of food, much thirst, hot 
tumid gums, sometimes fever with cold extremities. 
Bellad. was given, which modified some symptoms 
for the better, others still indicated danger. Fourteen 
days afterwards, arsen. 1|30 was exhibited, and in four 
weeks the child had become fleshy and free from any 
symptom of disease.* 

Case. In a child two years and a half old. It had 
suffered for several months from a disordered state 



42 ATROPHIA. 

of the bowels; stools sometimes white and slimy, 
then greenish or black: it was reduced almost to a 
skeleton ; skin wrinkled, complexion sallow, abdomen 
tumid. It would eat nothing for several days before 
I saw it, but was very thirsty, especially at night. 
Arsen. 1|30 in half an ounce of water, of which one 
fourth was given in the afternoon. The ensuing night 
it rested better ; the next day took nourishing food 
and had no thirst : had only one stool daily, and that 
quite natural in its appearance after the third day ; 
convalescence was steady and sure. In this case 
there was no repetition of the medicine. J. 

Cinch, cured atrophia in a child. Great ema- 
ciation ; ravenous appetite ; distension and doughy 
feel of the abdomen ; white pappy stools ; whining 
fretfulness. 

Case. In a child. Frequent fluid stools; con- 
stant sweat, especially at night ; neither appetite, 
thirst nor cheerfulness ; deep, heavy sleep ; emacia- 
tion ; debility ; cinch, three doses, effected a cure. 
Between the second and third doses, ferrum was 
interposed. 

Nux v. Case in a child set. 2| ann. Sallow, 
bloated countenance ; tumid belly with much rum- 
bling therein ; alternating diarhoea and costiveness : 
much thirst ; great appetite but with vomiting of the 
food; emaciation; fretfulness: nux v., gtt. ss. 30, 
effected a cure in a short time. 

Rhus. In a child set. 2 ann. Disease of eighteen 
weeks' duration. Pale countenance, abdomen tumid 
and hard, great appetite and thirst, great emaciation ; 
ten to twelve mucous or bloody diarrhceal stools every 
twenty-four hours ; some fever every afternoon. 

Rhus 5|30, repeated every week till three doses 



VESICA URINALIS. 43 

were given, improved the child very much; arsen. 
2|30 was then given with unpleasant effects. Eleven 
days after, calcis c. 2|30, and gradual improvement 
resulting in perfect recovery succeeded. 

Besides the above remedies, the following have 
also been recommended; baryt., cham., cina., calc, 
sulph., iodin., magnes. c, petrol, puis. 



BLADDER. VESICA URINALIS. 

Cystitis. In inflammation of the bladder the fever 
being a synocha, aeon. If it arise from irritation pro- 
duced by cantharides, camph. ; if from alcoholic drinks, 
nux vom. In many cases of irritation of the neck of 
the bladder and of the urethra, eanth. has been found 
useful. 

In inflammation of the fundus of the bladder, when 
with a constant urinary pressure, which the smallest 
quantity of urine excites and increases, and every 
contraction of the bladder is painful, and when the 
urine must be frequently discharged, the scilla mar., 
says Hartmann, may be administered with benefit. 
We should also bear in mind these other remedies : 
ealcis c, sepia, lycop., graph., potass, c. 

In a case of irritation of the bladder of many years' 
standing, consisting in a frequent desire to pass urine, 
and a painful sensation on turning in bed, as though 
the bladder was falling downwards towards the lower 
side ; attacks of pain, whilst walking, in the region of 
the bladder, which were relieved by pressure with 
the hand. Puis. 1|30 in twenty-four hours diminish- 
ed these painful sufferings, and in a few days com- 



44 BONES. 

pletely removed them. The patient remained well, 
when I last saw him, six months after his cure. J. 

A case is mentioned by Dr. Gross, in which the 
suppression of the hemorrhoidal flux by means of 
medicines, was followed by a disease of the bladder, 
marked by bloody urination, attended by excessive 
pain and frequent pressure to urinate. A restoration 
of the hemorrhoidal discharge had not lessened the 
disease of the bladder, for the cure of which Dr. G. 
gave calcis c, which was followed after twelve days 
by increased distress in the urinary organs and con- 
stant bleeding from the urethra ; and after four days 
more by the discharge of masses resembling uterine 
polypus. The discharge of these continued for three 
weeks, and the pieces discharged would have formed 
a mass of the size of a hen's egg. With the cessation 
of this discharge there was a disappearance of all 
symptoms of disease of the bladder. This case re- 
minds us of those which have been termed cancer of 
the bladder, in which, though there was a discharge 
of similar masses, recovery has not taken place. 



BONES. 

Injuries of the bones from mechanical violence, like 
wounds of the soft parts, and under similar limitations 
with these, are remedied by the recuperative energies 
of the system when they occur in healthy persons. 
It is true, that as in the case of wounds, nature may 
be assisted and hastened in her operations by the re- 
moval of foreign bodies from the wound, or the close 
approximation of its lips by manual assistance; so in 
fractures of the bones, the surgical aid which is 



BONES. 45 

requisite for effecting and maintaining the proper 
adaptation of the fragments to each other, not only 
hastens the recovery but is generally necessary for 
the prevention of deformity and the restoration of the 
full usefulness of the part. In dislocations also, the 
proper means must be employed for restoring the bone 
to its proper location. It has been recommended 
to give arnica after reducing luxations and setting 
fractures. And it is certain that it is often ad- 
vantageously employed under these circumstances; 
yet I would recommend the practitioner to observe 
whether it does not painfully aggravate the strangury 
which frequently attends fractures of the large bones 
of the lower extremities. In two cases of fracture of 
the bones of the leg, and in one case of fracture of the 
thigh bone, in which I employed this remedy, the 
strangury was uncommonly severe, and in the latter 
case arrived at complete retention of urine, demanding 
the use of the catheter. 

Although, in a healthy organisation, the bones may 
speedily recover from very serious injuries ; yet, it is 
far different in some morbid conditions of the system. 
For, where these are present, disease of the bones 
may occur without any violence having been inflicted, 
or after an injury of a very trivial character. In such 
cases, if recovery ever takes place, it is mostly after a 
great length of time, and is generally imperfect, as in 
most instances great deformity and diminished useful- 
ness of the part are the results of the disease. But 
it often happens that the disease continues to advance, 
until by its irritation it exhausts the energies of the 
constitution, and death puts a period to the sufferings 
of the patient. 

It is obvious that the cure of the disease of the bone 



46 



BONES. 



must depend in a great measure, if not entirely, upon 
the removal of the morbid condition on which it 
depends. A want of the means for effecting this, 
and perhaps a disposition to overlook its necessity, 
have induced eminent surgeons to resort to very 
severe methods of attacking some diseases of the 
bones ; and if these have more frequently aggravated 
rather than abated the disease, it is a result which 
was rationally to be expected, because new injuries 
were inflicted upon the diseased bone at the same 
time that the morbid condition of the system remain- 
ed unaltered. 

Homceopathia has presented us with means better 
adapted to remove these conditions, than any we 
before possessed; and, in consequence, we can treat 
diseases of the bones with greater success now than 
formerly. It is true that we have been for a long 
time in possession of a specific against that one of 
these morbid conditions which is induced by syphi- 
litic infection. But we sometimes did not succeed in 
our endeavours to cure, because we employed the 
remedy in such doses as excited the reaction of the 
system against it, and we consequently failed to effect 
the requisite impression on the organisation, which 
would have been accomplished by the remedy had it 
been given in much smaller or much larger doses. 
We also, by the frequent repetitions of the medicine, 
often disturbed the curative operations which had 
been commenced after the first doses, and, if we did 
not prevent, we sometimes protracted the cure. In 
those cases where syphilis was superinduced on 
chronic, morbid conditions of the system, this practice 
failed on other grounds; for here the specific in proper 
homoeopathic doses must also fail. The reason of 



BONES. 47 

this is, that as a wound in any part of the body of a 
person labouring under some morbid operations, will 
not heal though its lips be brought into accurate 
coaptation, and it should be otherwise properly treat- 
ed; so, syphilis and many other diseases attacking 
persons suffering under other chronic, morbid con- 
ditions, cannot be removed by their appropriate re- 
medies, because these cannot induce the same proper 
curative operations in the unhealthy as in the healthy 
system. So far as my knowledge extends, Hahne- 
mann has been the first to insist upon the necessity 
of early attacking the pre-existing morbid condition, 
instead of urging the employment of the specific for 
the superinduced disease to an injurious extent. 

The disease of the bones originating in syphilitic 
infection, which have been cured by aurum alone, 
are not to be considered as belonging to this class of 
complicated diseases, but as a complication of mer- 
curial and syphilitic disease, arising from the improper 
use of mercury for the cure of syphilis occurring in 
a previously healthy system. In this disease, when 
it has not already been abused, mercury is the most 
important remedy. 

If before the discovery of the existence of those 
laws of nature which form the foundation of homoeo- 
pathic medicine, we treated an easily recognisable 
form of disease with a known specific against it, and 
yet sometimes failed from the causes just mentioned, 
it is easy to conjecture how much more imperfect 
was our procedure against that protean morbid con- 
dition termed the scrofulous diathesis. We possessed 
many of the remedies which we now recognise as 
highly useful against some of its developments, but 
we had not those certain indications for their employ- 



48 BONES. 

ment which we at present possess, while the imper- 
fection of our knowledge, in relation to doses, led us 
to the same errors into which we fell in the employ- 
ment of mercury against syphilis. But while we 
have attained much, both in means and knowledge, 
which will enable us to treat these affections more 
advantageously than formerly, yet we cannot but feel 
that there is a something attainable that has not yet 
been attained. We are often at a loss for indications 
to determine which of the remedies that are indicated 
by the morbid condition or its particular development, 
as caries, hyperostosis, &c, is the appropriate remedy 
for the individual case. The circumstances which 
can guide in the choice of the remedy, are the tem- 
perament, the disposition, the character of antecedent 
diseases and the treatment to which they have been 
subjected, and the nature of the exciting cause of the 
existing disease of the bone. The symptoms which 
indicate the remedies, are those of the disease of the 
bone: viz., the appearances, the pains and other mo- 
lestations which accompany it, and the symptoms 
which affect the whole system, or particular parts of 
it other than those immediately implicated by the 
disease of the bone. But most of the latter, which 
may be termed the general symptoms, namely, hectic 
fever, loss of appetite, emaciation, debility, &c, are 
often merely the result of the local irritation. 

As a number of different remedies must be adapted 
to the same temperament and disposition, these will 
often be but of little assistance to us in deciding be- 
tween the suitability of many of those remedies which 
are indicated by the local disease. Of the two the 
disposition will be the most useful to us in this 
respect, as it is liable to morbid alterations and 



BONES. 49 

possesses great diversity of character. The morbid 
changes in the disposition constitute a part of the 
symptoms, and are generally of more importance 
than the natural disposition in the choice of the 
remedy. 

A knowledge of the mode in which antecedent 
diseases have been treated, and of the previous treat- 
ment of the present disease, is frequently of great 
importance, as it shows to us the probable source of 
some of the symptoms, and hence often leads to 
the choice of a remedy calculated to afford much 
relief. 

It is important also to know what have been the 
antecedent diseases, not only when the complaint hi.s 
been of a syphilitic character, but also when the 
previous disease has been a cutaneous eruption which 
has been repelled from the surface by local applica- 
tions, or has disappeared under the use of drastic 
cathartics. In these cases that remedy is to be pre- 
ferred which is capable of doing the most towards the 
cure of such an eruption as has receded; provided 
that this remedy has not previously been employed 
in excess ; for example, if the repelled eruption has 
been psora, sulph., where it has not been previously 
abused, will generally be found a highly useful re- 
medy. But as this remedy will seldom of itself effect 
a perfect cure, the difficulty again occurs in the choice 
among the numerous remedies which have proved 
useful in psoric diseases. The exciting cause of 
disease of the bones is sometimes mechanical violence, 
and here arnica often proves very beneficial. But 
however useful it may be, this remedy is incapable of 
completing the cure, and the difficulty of deciding 
which of the remedies, that are indicated in the 
4 



50 BONF.S. 

present form of disease, is the appropriate remedy for 
the present case, meets us but one step later than it 
does in those cases where the disease has not been 
excited by mechanical injury. 

The peculiarities of the symptoms, that is, the time, 
order and circumstances of their appearance, exacer- 
bations, and remissions, are in many instances the 
most important guides to the remedy. But in order 
to ascertain it a laborious investigation and comparison 
of the symptoms of several remedies are frequently re- 
quired. This labour, although it cannot be dispensed 
with, might be considerably lightened, if physicians 
in recording their cases would state what were the 
circumstances, symptoms, and peculiarities of symp- 
toms, which characterised the remedy chosen as the 
one adapted to the case. If we still continue to 
neglect doing this, we must continue to endure the 
Sisyphean toil of comparing the symptoms of nu- 
merous medicines every time we have occasion to 
give another remedy, without being able to avail 
ourselves of any advantage from our previous com- 
parisons, while our labour, but not our certainty, will 
increase with the growing bulk of our materia medica. 

The following short index to the remedies for 
several forms of diseases of the bones may prove 
useful. It is made chiefly from the cases which 
follow. The terms applied to the cases are mostly 
those employed or suggested by the physicians who 
have treated and recorded the cases. 

Caries. Ac. nit., ac.phosph., august., assa., calcis c, 
mezer., sepia, silex, sulphur. 

Caries syphilitica. Aurum. 

Distortio spinalis. Bellad., calcis c, ipecac, silex, 
sulph- 



BONES. 51 

Exostosis syphilitica. Aurum, bellad., phosph. 

Hyperostosis. Arnica, assa, dulc, ledum, lycopod., 
mere, mezer., rhus, sepia, silex, staphis., sulph. 

Necrosis. Ac. nit., ac. phosph., arnica, assa, 
calcis c, sulph. 

Mollities ossium. Calcis c. 

Rachitis. Bellad., calcis c, mere, assa. 

Spina ventosa. Assa, mezer., sikx, sulph. 

Morbus coxarius. Ac nit., arnica, bellad., bryon., 
calcis c, lycopod., petrol., sulph., tr. acris. 

Ac. nit. Caries and necrosis. See cases under 
assa, sepia and silex. 

Ac. phosph. Caries and necrosis. See case under 
assa. 

Arnica. In a case of hyperostosis femoris, from 
injury of the thigh by a blow ; this remedy produced 
immediate relief of pain and subsequent abatement of 
the swelling and suppuration. See case under silex. 

In a case of necrosis, originating in injury from a 
fall, arnica greatly diminished the pain. See case 
under silex. 

In morbus coxarius, after arnica gtt. i. 6, the pus 
improved in quality, and there was a general improve- 
ment in the health of the patient. See case under 
sulph. 

Angustura has been said to have cured caries when 
given daily in doses of 1 to 6 ; the use of coffee being 
avoided. 

Assa fcetida. Caries tibiae. In a woman set. 40 
ann., who had been bitten on the leg by an insect six 
years before. The bite induced violent inflammation 
which produced ulceration, and finally the bone had 
become affected. An ulcer on the inner side of the 

leg over the tibia, two and a half inches long, and 

4* 



52 



BONES. 



one and a half broad, with indurated margins of livid 
appearance, offensive suppuration and caries of the 
tibige. There was great sensibility in the circum- 
ference, and severe pain in the margins of the ulcer 
on being touched. Assa gtt. 1|6, was followed by 
gradual improvement, and by the separation of a small 
spicula of bone half an inch long, and an eighth of an 
inch broad. In thirty-six days the ulcer was com- 
pletely healed. 

Assa, in alternation with ac. phosph., has cured a 
caries and necrosis. In another case, assa in alterna- 
tion with ac. nit. and ac. phosph., after an improved 
secretion of pus had been induced by sulph., cured a 
necrosis tibise. 

Assa. Spina ventosa tibiae. Hyperostosis tibise. 
A girl set. 12 ann. had suffered under a debilitating 
diarrhoea for three months, when she was attacked 
with severe itching, in the left leg, and the diarrhoea 
ceased. This itching gradually diminished, but there 
appeared in its place slight drawing pains in the tibia. 
On examination, this bone was found very protube- 
rant on the fore part and on the inner side. By the 
orders of a physician, leeches were repeatedly applied, 
and embrocations continually employed, but in spite 
of the treatment the pains increased and the swell- 
ing advanced. After sixteen weeks an experienced 
surgeon pronounced the case a swelling of the bone, . 
and stated that it was near the period of breaking out, 
to prevent which he directed mercurial inunction. 
After some weeks, as the disease still kept on in- 
creasing, Dr. Hartmann was consulted in relation to 
its homoeopathic treatment. He found the following 
form of disease. A swelling of the tibia, greatest 
about mid-length and forward and on the inner side; 



BONES. 53 

diminishing above and below, but still so extensive 
in the latter direction that the malleolus internus 
could neither be seen nor felt. Over the middle of 
the swelling was a spot of the size of a dollar, which 
was somewhat reddened and very sensitive to the 
touch. The skin over the diseased bone was thicker 
than the healthy skin, and felt almost like leather. 
The pain was dull, drawing, boring, worse in rest 
than in motion; in walking more of a stretching pain 
which caused her to limp. Countenance pale, turgor 
vitalis wanting, flesh soft. Appetite trivial, stools 
natural, sleep often prevented by the pains. She 
was irritable, depressed and fretful. 

As adapted to overcome the action of the mercury, 
and to obviate the debility from the previous diarrhoea, 
and as answering to the yellowness and flaccidity of 
the skin, cinch. 2|18, was given. It was followed by 
improvement which continued progressive for seven- 
teen days, in which time the red spot had disap- 
peared. On the twenty-first day, as no advance of 
improvement had been observed for the last three 
days, assa 2|9, which greatly diminished the swelling. 
The skin over it became soft and more yielding, and 
the disposition of the child became cheerful. After 
thirty-seven days, mezer. 2|6. The general health of 
the child improved, and there was considerable dimi- 
nution of the pain, though but little of the swelling. 
After twenty-one days, silex. 21, with the same 
results. In forty-six days, as for some days there 
had been a slight drawing and external itching in 
the diseased part, spiritus sulphuris, after which the 
drawing and itching disappeared and the swelling of 
the bone considerably diminished. In thirty-three 
days, the assa was repeated, and in thirty-one days 



54 BONES. 

the silex. In fifty-one days all that remained of a 
morbid character was a slight thickening of the skin. 
Sulph. 6 was given, and completed the cure of this 
dangerous disease. 

Aurum. Syphilitic exostosis and caries. A node 
on the head and nodes on one fore-arm and one tibia. 
Extensive caries of the palate bones. Discharge of 
fetid ichor from the nose. Ulceration of the throat ; 
syphilitic rheumatism. Excessive emaciation and 
debility ; night sweats. Ten grains of the first tritu- 
ration of aurum were well triturated with two drams 
of sugar. This was divided into eight powders, of 
which the patient was directed to take one twice 
every day. The medicine was thus given for ten 
days with evident improvement. Then, two grains 
of the first trituration of aurum were triturated with 
two drams of sugar. This was divided into six 
powders, of which the patient was directed to take 
one every six days. In three weeks he was perfectly 
well, and remained so at the end of three years. 

Swelling of the frontal, nasal and superior maxillary 
bones; syphilitic ozsena and rheumatism. Aurum gr. i. 
2. In fifteen days entire disappearance of the disease. 

Bellad. Rachitis. In a child set. 4 ann. Swollen 
joints, bent bones, and unsightly large head. Bellad. 
gtt. i. 24 lessened the disease. 

Distortio spinalis. In a child set. 4 ann. In- 
curvation of the spine, (lordosis,) causing great pro- 
tuberance of the abdomen. Pain in the head, eyes 
and throat. Strabismus; no fever. Bellad. gtt. i. 16, 
and in two weeks there was no trace of the disease left. 

Exostosis. After abuse of mercury. Exostosis on 
the os frontis, with intolerable pain. Palate covered 
with deep, gray, painful ulcers. Bellad. 12 proved 
useful. 



BONES. 55 

Calcis c. Distortio spinalis. In a child aged fifteen 
months. The vertebra enlarged, the superior dorsal 
vertebra were bent to the left, and the lumbar towards 
the right side; with chronic hydrocephalus. Calcis c, 
ipecac, and silex, effected a cure. 

Calcis c. effected great improvement in a necrosis 
of the tarsal bones, in the case of a boy. Shortly 
after the administration of the medicine there was a 
separation and painless discharge of a large spicula of 
bone. 

Rachitis and mollities ossium. In these diseases 
calcis c. is remarkably useful. 

Bulc. 20, then staphis. 20, then rhus gtt. i. 30, two 
doses, and finally sulph. 3, cured a hyperostosis of the 
humerus, with swelling from the shoulder joint to the 
elbow. The cure occupied eight weeks. 

Lycopod. 2|30, then silex 2|24, three doses, then 
mezer. 2|24, and finally ledum, cured a hyperostosis 
in the foot of a scrofulous boy eight years of age. 

Lycopod. has been recommended for caries. 

Merc, has proved very serviceable in hyperostosis 
of the tarsal bones. 

Mezer. Hyperostosis of the radius of the left fore- 
arm. Assa had been previously given in large doses. 
To counteract this, pulsat. 2|12 was given on the 
sixth day ; mezer. gtt. i. 6 on the fourteenth day. On 
the thirty-first day silex 2|18; on the sixty-second day 
calcis c. 2|30. The improvement both in the local 
disease and the general health which has been pro- 
gressive under the previous remedies, continued also 
to advance after the calcis c. until the joint recovered 
perfect mobility, the bone had regained its natural 
size, and a fistulous orifice which existed at the com- 
mencement of the treatment, had become completely 



56 BONES. 

cicatrised. The cicatrix was covered with a scurf, 
which after lycopod. 2|30 speedily disappeared. 

Phosph. Exostosis. Hyperostosis. Exostoses on 
the frontal, the parietal, and the occipital bones, from 
the size of a bean to that of a hazel-nut. One of the 
clavicles of double its proper circumference. Pain 
in the protuberances on pressure with the finger. 
Severe tearing and boring pains in the affected parts 
at night. Phosph. gtt. i. 30, frequently repeated, 
effected a cure. 

Sepia. Caries femoris; hyperostosis radii. Fis- 
tulous opening, discharging a watery ichor, on the 
outside of the thigh. A sound introduced into this, 
after a long progress towards the knee, touched upon 
a rough carious spot on the bone. At the lower ex- 
tremity of the radius, enlargement of the bone for a 
length of four inches; painful on being touched. 
Sepia 2[30, and after six weeks ac. nit. 1|30 effected 
a cure in nine weeks. 

Silex. Hyperostosis femoris. In a man get. 28 aim. 
Disease commenced two years before, apparently from 
a blow on the thigh. Sticking, boring and tearing 
pain in the front part of the thigh, so severe that he 
could not sleep at night. The thigh was very much 
swollen from the knee to the groin. The femur much 
enlarged. From the fistulous openings nearly a 
pint of pus mixed with, blood flowed mornings and 
evenings upon the removal of the dressings. The 
patient was excessively emaciated, and he suffered 
under a "phthisis pituitosa" and constant heavy 
sweats. As the pain in this case appeared to be an 
important symptom, since it had commenced with 
the disease, and apparently originated from the effects 
of mechanical injury, and as it had not diminished 



BONES. 57 

through the whole course of the disease, arnica was 
given. It was followed immediately by a sleep of 
eight hours' duration, from which he awakened nearly 
free from pain; and an improvement marked by 
increase of appetite and abatement of the swelling 
and suppuration. The improvement continued pro- 
gressive to the tenth day, and on the eleventh, as 
there appeared to be a cessation to its advance, 
lycopod. 4|28. The improvement again commenced, 
and in its course the phthisis pituitosa gradually dis- 
appeared. The cure was completed with silex. 

Caries ossium digitorum. In caries of the pha- 
langes of the fingers, silex has proved remarkably 
useful. Where the bone has been already destroyed, 
it has appeared to hasten its separation, the sore has 
speedily become clean and rapidly healed. 

Necrosis. In a man set. 28 ann. who fell from a 
tree and injured his arm against a stump so severely 
that four months elapsed before he could again use it. 
It always remained somewhat painful, and could not 
be moved with the same ease as the other. Two years 
afterwards several fistulous openings were formed, 
through which fragments of bone frequently found a 
passage. Arnica greatly diminished pain. Silex, 
calcis c, and spt. sulph. effected a cure. A remain- 
ing stiffness of the joints was removed by colocynth. 

Caries tibiae. The cure of a caries of the tibia, 
in a boy, was effected by silex, assa., calcis c, rnezer., 
silex repeated, spirit sulph. and ac. nit. 

Sulph. has proved useful in various diseases of the 
bones. 

Distortio spinalis. In a boy set. 10 ann., arising 
from a severe blow from a hard substance. The 
superior dorsal vertebra posteriorly curved, forming 



58 BONES. 

between the shoulders a true cyphosis. The case 
was at one time complicated with tetanic symptoms, 
for which cicut. vir. was given, and twenty-four 
hours afterwards for dysuria, staphysag. These 
symptoms being removed, the cyphosis, which was 
only of two months' standing, was attacked with sulph. 
gtt. i. 9, and in eight weeks the gibbosity had perfectly 
disappeared. 

For rachitis, sulph. has been highly recommended. 

Morbus coxarius. In the earlier stages of this 
disease it may be sometimes proper to employ those 
remedies which are capable of abating inflammation, 
or of removing those painful diseases of the hip, 
which are termed ischias or sciatica: namely, aconil., 
bellad., cantharides, cham., colocynth., m>rc, nux v., 
rhus. 

In its more advanced stages the remedies which 
are useful in caries will generally be indicated. But 
remedies of this class have answered well early in the 
disease. For instance, calcis carbonas in many doses, 
removed the coxalgia of a scrofulous child, who, 
without any previous injury, began to limp, and in 
walking dragged one foot, but did not complain of 
pain ; the diseased limb was longer than the other, and 
the foot was always turned outwards whilst walking; 
pressing the head of the femur towards the acetabulum 
excited pain. And in another case, three doses of 
tinctura acris 2|30 cured a coxalgia, with inability to 
stand or walk, in four weeks. 

The following case from the eighth volume of the 
Archives of Homoeopathic Medicine, is reported by 
Dr. Theodore Ruckert. It may be tedious on account 
of its length, but the case is certainly very interesting. 
The symptoms, &c. which have influenced the choice 



BONES. 59 

of the medicines, I have given as far as they are 
reported, 

Amelia T. set. 6 ami., of weakly and tender consti- 
tution, and the scrofulous diathesis, had suffered two 
years before from a species of ozaBna and caries of the 
teeth, on which account many of these had to be ex- 
tracted. Afterwards she was apparently well until 
her sixth year. 

On the second of July, 1828, she rode for some 
hours with her parents in damp, cold weather, and 
was apparently much chilled. On the following day 
she complained of pain in her right hip, increased by 
bearing her weight in walking, which soon became 
impossible. Many most injurious remedies were ap- 
plied for its cure, by an old lady, with the natural 
consequence of an increase of the pain and an aggra- 
vation of the inflammation of the hip joint. 

Advice was now sought from an accomplished 
alloeopathic physician (who at this time is earnestly 
acquainting himself with homoeopathia), who used 
different remedial means; namely, leeches, calomel 
gr. 30, in a short time, with evident sinking of the 
strength, and in order to raise this again cinchona, 
bitter extract arid aqua laurocerasi were employed, 
but with constant increase of the disorder, so that the 
physician at length pronounced her beyond the reach 
of medical aid. 

As regards the further development of the disease, 
it is to be remarked, that about eight days after its 
commencement, a swelling appeared externally in the 
region of the trochanter major, which apparently 
marked the passage of the caput oss. femoris out of 
the acetabulum. The inflammation and suppuration 
advanced, accompanied with the most frightful pains; 



60 BONES. 

the child screamed loudly, often for hours, till finally 
after some weeks, when the limb had already taken 
a false direction and the femur was luxated, an 
opening formed itself on the outside of the thigh 
nearly over the trochanter major, and discharged a 
quantity of pus. Injections of various kinds were 
unsuccessfully employed, the child became daily 
more emaciated and the limb more deformed. 

Sept. 6th, 1828. In the ninth week of the disease 
I was called to visit the child and found its condition 
as follows It was emaciated in the highest degree, 
the skin appeared to lie on the bones. Its head was 
sparsely covered with blonde hair, the greater part 
having fallen out. The countenance was sunken and 
pale, the bones of the face prominent, the lips without 
lively redness. The little patient laid in bed, but 
desired every hour to be moved into another bed, 
which could not be accomplished without giving her 
much pain. Besides she was so peevish and captious 
that her parents and attendants scarcely knew how 
to manage with her; they dared not touch her, and 
every footstep in the room excited her. She had not 
the least appetite, but complained of no disorder of 
digestion, and she had a stool almost every day. 

By close examination of the diseased thigh, I found 
it in a false direction to the pelvis. The knee was 
bent and fell outwardly, it was stiff, could not be 
straightened, and the efforts to accomplish this caused 
pain. The thigh was elongated. In the region of 
the foramen ovale a protuberance could be felt, but 
it could not be accurately examined on account of the 
too great sensibility of the patient. The right side of 
the pelvis, when viewed from behind, appeared flat- 
tened off, and as if a part of it were wanting. The 



BONES. 61 

opening on the thigh daily discharged a quantity of 
thin pus, and upon sounding it, which was very dif- 
ficult on account of the sensibility and obstinacy of 
the patient, the bone could be felt, yet without rough- 
ness. By injecting water it was seen that the cavity 
was not inconsiderable. Behind on the thigh, on the 
borders of the nates, as also an inch above the open- 
ing, there were soft, discoloured, painful spots. The 
child complained of severe, sticking pains in the hip 
and thigh, but still more in the knee, of the affected 
side. The pains were very troublesome at night, and 
the patient seldom slept for two hours in succession, 
she had alternate chills and heats, especially in the 
afternoons, and then had red cheeks. 

A spontaneous luxation of the femur, forwards and 
inwards, was evident; and this together with diminu- 
tion of the strength of the body, the hectic fever, &c. 
furnished grounds for a gloomy prognosis. In the 
most favourable case, though life should be preserved, 
stiffness of the limb and partial necrosis of the bone 
were to be expected. 

On account of the great obstinacy, self-will and 
peevishness, I chose the arnica, of which on the 7th 
of September I gave gtt. i. 6, at the same time pre- 
scribing a proper diet according to homoeopathic 
principles. By the 12th the self-will and peevish- 
ness, as well as the pains, had somewhat abated; on 
the 20th the discoloured spots were opened and dis- 
charged some table-spoonfuls of pus. On sounding, 
the canal was found to pass far inward and upward. 
By the 26th the pus had become of much better 
quality, the child ate and drank with satisfaction, 
had increased in flesh and strength, and sat up 
much in bed. On this day bryonia 18 was given, 



62 BONES. 

and by the 2d of October there was considerable 
advance of the improvement. At this time lycopodium 
4|30 was given in the morning fasting, and by the 
16th the limb was more movable, the thigh evidently 
becoming shorter, and approaching more nearly the 
natural direction. The child was more cheerful and 
free from fever In the early part of November it 
was free from pain, and tried to walk a few steps while 
holding on to the bed or a bench. Nov. 15th, acidum 
nitricum 4|30, in the morning fasting, with continued 
improvement, but with a development of the old 
disease of the nose, the discharge of very fetid mucus. 

December. In this month the child was attacked 
with scarlatina miliaris. Two doses of aconit. 24, on 
the 5th and 7th, removed the fever, but on the 8th ap- 
peared symptoms of angina membranacea, for which 
spongia 30 was given, and on the following days calcis 
sul. 3, and pulsatilla 12. December 16th the child 
was again well and cheerful, went about in the room, 
but appeared very pale, and was very hard of hearing, 
a circumstance which had never occurred to it before. 
A small part of a drop of spiritus vini sulphuratus was 
given, and in a few days the hearing returned and the 
colour of the face improved; she began again to go 
about the room, but with a slight limping. The 
orifices still discharged much matter, and from the 
nose there came large lumps of mucus. 

On the 16th of January 1829, calcis carbonas 30 
was given. In this month she was fleshy ; and not 
only went about the room, but skipped and danced 
with other children. The head of the femur appear- 
ed to have nearly attained its natural position, and 
the thigh was nearly of the same length with the 
other. 



BRAIN. 63 

In February, from taking cold, there was some 
increase of the disease. On the 8th of March, silex 30 
was given in the morning fasting. On the 2d of 
May spiritus vini sulphuratus. On the 5th of June 
petroleum 4|30. The child constantly well and cheer- 
ful ran about in the house and out of doors. The 
fistulous orifices would sometimes close and then 
speedily open again. On the 10th of July, from 
sitting for several hours on a hard bench, she had 
severe pains in the hip and thigh, &c. ; bryonia gtt. i. 
18, and by the 21st well and going about. The 
two upper orifices closed and covered with a scurf. 
July 23d; phosphorus 4|30, and by the 31st all the 
orifices closed. On the 29th of November she re- 
mained well, and had a perfect movement of the limb. 



BRAIN. 

In phrenitis, bellad. is generally the proper remedy. 
It should be preceded by aconit. when the accom- 
panying fever is violent. Where the inflammation 
of the brain arises from a retrocession of erysipelas, or 
from external injuries of the head, forming an " En- 
cephalitis erysipelatosa," bellad. or rhus will be 
the appropriate remedy. If it has followed on the 
disappearance of inflammation of the external ear, 
pulsat. If such an inflammation threatens to pass 
into an acute hydrocephalus, mere, will often prevent 
it. 

Dr. Gross mentions aconit., bellad., ac. phosph., 
rhus, mere, hyos., as having been of service in what 
the physicians of the old school would term rheumatic 
inflammations of the brain. 



64 BRAIN. 

In inflammation of the brain, opium has been found 
useful where there was a soporose condition with ster- 
torous breathing. And stramon. where the gestures 
of the patients showed that they thought they saw 
some frightful object from which they would shrink, 
at the same time shrieking frightfully. 

Concussio cerebri. Arnica. 

Compressio cerebri, from effusion, arnica, which 
has also been applied externally with advantage. 

Phrenitis. In a man set. 30 ann. of powerful 
frame and choleric temperament; from exposure to 
cold. 

Sleeplessness, vertigo on sitting up in bed. Fre- 
quent and violent delirium ; he raved and cried ; would 
leave the bed, and when held in would show great 
resistance; tossing about; would not endure the bed- 
clothes. In tranquil intervals he complained of con- 
fusion, heaviness and fulness in the head, and of fixed 
burning and pressing, as also of sticking pain in the 
head. Eyes wild, rolling, aching, reddened and in- 
tolerant of light, pupils contracted ; he saw sparks and 
flames before the eyes. Hearing preternaturally 
sensitive. Ringing and rushing in the ears. Face 
hot and red, at times covered with a clammy moisture. 
Frequent sneezing ; pressing in the nose from which 
at times a few drops of blood flowed. Pulse quick, 
hard and jerking. Skin hot and dry. Respiration 
anxious, sighing and at times interrupted; voice 
hoarse, speech difficult; lips and mouth red, hot and 
dry. Tongue deep red, and slightly coated with 
tough mucus; severe thirst; constrictive sensation in 
the throat and frequent impulse to swallow; nausea 
and muco-bilious vomiting; singultus; constipation. 
Urine red and causing a burning sensation in its 



HYDROCEPHALUS. 65 

passage; bellad. gtt. i. 30. In twelve hours con- 
siderable relief; he slept some hours the following 
night. The next day the patient had perfect con- 
sciousness; the violence of all the symptoms had 
abated. On the fifth day for some weakness and 
confusion of head, white coated tongue, little appetite 
and costiveness, bryonia gtt. i. 15, and in a few days 
he was perfectly well. 

Hyosc. Phrenitis; in a man set. 24 ann. of sanguine 
temperament. Originating from a fall. After the 
fall, he walked home to his solitary dwelling, and was 
found two days afterwards in the following condition. 
He laid unconscious, with his eyes closed. Tongue 
covered with a white frothy mucus. Delirium, 
singing incomprehensible tunes, or murmuring, and 
sometimes simpering. At times for some minutes 
still. Movements of the hands as if he would pluck 
the bed clothes, but was unable; pupils dilated, eyes 
of dull lustre ; face redder than natural, skin dry and • 
harsh; respiration hurried and anxious; pulse uniform, 
quickened and full. Patient exhibited no sign of 
pain upon being touched, rubbed or roughly handled. 
Hyoscyam. gtt. i. 6. In half an hour an aggravation 
which continued for nearly five hours; but in eight 
hours perfect consciousness. In twenty-four hours 
no symptoms of his cerebral affection, but an inflam- 
mation of the lungs, which arnica, gtt. i. 6, speedily 
removed. 

HYDROCEPHALUS. 

Dropsy of the brain. 

Hydrocephalus acutus. In the forming stage, 
marked by debility, fretfulness, disturbed sleep, and 



66 HYDROCEPHALUS. 

gastric derangement, pulsat., bellad., ignat., ipecac, 
chain, or bryon. may be indicated. 

In the stage of vascular excitement, Hartmann 
considers aconit. as indispensable. Bellad. is the 
next most valuable remedy, but hyos., stramon. or 
pulsat. may sometimes be applicable. In the more 
advanced periods of this stage when there is stra- 
bismus, disordered vision, anxiety upon raising the 
head, &c, digit., arnica, rhus, artem., tr. sem. cina., 
mere, bellad., stramon., hyos. 

In the last stages where there is stupor, torpor, 
paralysis, &c, there is but little ground. for hope. If 
the febrile irritation is most prominent, aconit., if the 
spasmodic, ipecac, bryon., if the soporose condition, 
opium. When there are frequent convulsions with 
bending back of the head, frequent smelling of 
camphor, as often at the least as every five minutes. 
If after this there is any abatement of their violence, 
. one or two pellets moistened with spt. nit. dulc. laid 
on the tongue, or constant smelling of spt. nit. dulc. 
in a phial. 

Bellad. Case. In a child set. 4 ann. of a rachitic 
habit, with swollen joints, distorted bones, and un- 
sightly enlargement of the head. Exacerbating fever, 
severe headache, &c. ; the symptoms clearly showing 
that condition of the brain which precedes hydropic 
effusion; bellad. gtt. i. 24. For twenty-four hours 
aggravation ; after the second day the improvement 
not to be mistaken. Perfect cure, with diminution 
of the rachitis. 

Case. A previously strong healthy child of three 
years old, (one child of the same parents had died of 
hydrocephalus, and another had had the disease,) was 
attacked with fever and pain in the forehead, which 



HYDROCEPHALUS. 67 

under a mild antiphlogistic treatment had so far de- 
veloped itself as "Hydrops cerebri infantum," that 
in order to its proper allceopathic treatment leeches, 
calomel, &c, would have been necessary; bellad. gtt. 
i. 24. After the second day the child was perfectly 
well. 

Case. In a girl aged fifteen months, whose elder 
sister had been treated for hydrocephalus two years 
before. After she had been ill for a week, during 
which time she had been treated with calomel, 
"nitrosum" and "aq. laxativa" in the doses of the 
ordinary practice, her situation was as follows : Lying 
with her eyes closed, constantly moaning; she heard 
nothing, and desired nothing; countenance pale and 
sunken ; skin dry and warm ; the nostrils dry ; respi- 
ration short and rapid; pulse frequent, but the fre- 
quency varying; the tongue moist; she drank when 
she was lifted up and the glass was held to her lips, 
and swallowed easily, but let her head at once sink 
again. She frequently tossed the left arm and leg, 
which she kept constantly elevated and drawn out- 
wards; the extremities of the right side were still, 
though she yet retained the power of moving them. 
Urine and faeces were discharged unconsciously. 
Bellad. gtt. i. 24 was followed by an abatement of 
the hydrocephalic symptoms, and a diarrhoea with 
green, slimy stools. The diarrhoea continuing, cham. 
gtt. i. 12 was given. Its effect was an almost im- 
mediate suppression of the diarrhoea. The relief 
proved but temporary, and in consequence of relapse 
bellad. gtt. i. 30 was administered. This was speedily 
followed by improvement, and in the course of a few 
days she perfectly recovered. 

Helled. 30 has been strongly recommended in those 

5* 



68 CATALEPSIA. 

cases where bellad. and bryon. have produced only a 
temporary mitigation of the disease, or where the 
symptoms are such as justify the fear that effusion has 
already taken place, and should it prove inefficient, 
sulph. 30 or 60. 

Hydrocephalus chronicus. In a child aged fifteen 
months. Circumference of the head over the "tubera 
frontalia" and occipital protuberance, twenty-three 
inches. Bones of the cranium widely separated. 
Thin scabs on the scalp of a peculiar odour. Distor- 
tion of the spine. Calcis c. 30, ipecac, and silex 1|30 
were followed by a gradual reduction of the head to 
the circumference of sixteen inches, and a restoration 
of the spine to its natural curvature. 

Helleb., arsen. and sulph. in alternation and accord- 
ing as they are indicated by the symptoms, are 
asserted to have frequently cured chronic hydro- 
cephalus, and even congenital dropsy of the brain, 
with which, at a later period, general dropsy had 
become associated. The order of succession in which 
these remedies were employed was as follows : helleb., 
sulph., arsen. It is recommended when no urgent 
symptoms are present, to allow the helleb. to operate 
without interruption for at least eight or ten days. 



CATALEPSIA. 

It should be remembered by the physician that 
this disease is frequently simulated, and that the im- 
posture can be much more easily maintained under 
the homoeopathic than under the ordinary heroic 
treatment. 

In a case where the attacks occurred every evening, 



CATARRHUS. 69 

commencing with sticking pain in the forehead, 
vertigo, heaviness of the head, and great languor and 
debility. The patient would lay entirely quiet; the 
eyes were half open, and of dull appearance; the 
upper eyelids twitched spasmodically; the mouth 
was open; she respired easily, but answered no ques- 
tions; the warmth of the body was natural; the pulse 
full, but not frequent; the limbs could be easily 
moved, and they preserved the given position. This 
condition lasted for nearly half an hour. Then she 
began to breathe loudly and with some difficulty ; she 
moved her head; the eyes regained their lustre; she 
turned herself in bed; she answered questions; the 
headache was gone ; she complained of some difficulty 
in swallowing ; felt very weak, and knew nothing of 
her recent paroxysm. Stramon. gtt. i. 9 was given 
immediately after the paroxysm. The next day a 
return of the headache, but not of the catalepsy, 
which never again appeared. 



CATARRHUS. 

This term is employed to designate that common 
form of disease which is popularly termed "a cold." 
The cause to which it is most generally attributed is 
the action of cold upon the body, either through long 
exposure to its influence, or through exposure to it 
when over-heated, or to sudden changes from a high 
to a low temperature, &c. But however capable 
cold may be under these circumstances of inducing 
catarrh, it is certainly not its only cause. The agents, 
whatever they may be, which produce those epidemic 
catarrhs which are known by the name of influenzas, 



70 CATARRHUS SPORADICUS. 

are to be ranked among its causes. Trie number of 
these must be considerable, inasmuch as the influ- 
enzas of different years present considerable diversity 
of character which can only be accounted for on the 
ground of a difference in the causes which produce 
them. But there are other pathogenetic agents than 
those just referred to, which can produce this disease. 
The investigations instituted by the cultivators of 
homoeopathic medicine for the purpose of ascertaining 
the operation of remedies on the healthy system, 
teach us that there are many substances which pos- 
sess the power of inducing catarrhal symptoms. 

When we consider not only the diversity of the 
agents, but also the almost endless modifications of 
their actions by difference of constitution in the pro- 
duction of catarrh, we must suppose that many 
remedies must be required for its treatment. Ex- 
perience confirms the truth of such a supposition, for 
not only the cases of sporadic catarrh, but also the 
influenzas of different years have required very dif- 
ferent remedies : the article which has proved almost 
specific in one year, proving of comparatively trifling 
utility in the next. 

The further consideration of the character and 
treatment of catarrh can be best conducted under the 
divisions of sporadic and epidemic catarrh. 



CATARRHUS SPORADICUS. 

This is a disease with which the system, in most 
instances, sympathises but slightly. The catarrhal 
are the predominant symptoms, and except on account 
of the inconvenience and discomfort of these, which 



CATARRHUS SPORADICUS. 71 

are rarely so great as to disable the patients from at- 
tending to their ordinary pursuits, it would demand 
but little attention if it were not that it sometimes 
awakes into action latent predispositions to disease of 
the lungs or trachea. As it is mostly of this slight 
character in its earlier stages, the reactive energies of 
the system are strong, and the remedies may be given 
in more rapid repetition and with more frequent 
change than in most other diseases. But there are 
sometimes sporadic cases which in their violence and 
the severity of their accompanying symptoms, equal 
the most violent forms of epidemic catarrh. In such 
instances the accompanying symptoms often pre- 
dominate in importance, and the remedies which 
operate most decidedly for the cure of these, demand 
the first consideration. The catarrhal symptoms being 
of a subordinate character are to be considered in de- 
ciding between the remedies which are adapted to the 
predominant symptoms. As cases of this kind present 
a great variety of form, a detail of all would be nearly 
impossible, and of a few would be nearly useless, I 
shall, therefore, confine myself in treating of the re- 
medies for sporadic catarrh, to those indicated by the 
catarrhal symptoms. 

These are the coryza, soreness of the throat, cough, 
and affections of the voice, and respiration. For the 
coryza, where it presents any peculiarities, is ex- 
traordinarily severe, or does not decline with the 
other symptoms, see coryza. Under similar circum- 
stances in relation to soreness of the throat, see angina 
faucium. 

If the cough is dry, that is, unaccompanied by 
expectoration, aconit., bellad., bnjonia, cina, colds 
sul.j capsicum, chamomile conium, drosera, euphrasia, 



72 CATARRHUS SPORADICUS. 

hyosc, ignatia, ipecac, lactuca, lobelia, mere, nux v., 
pulsat., rhus. 

When the dry cough is worst through the day, 
with an intermission of some hours in the evening, 
nux v. When the cough is dry, (or the expectoration 
is slight, and only after great exertion,) and worst in 
the morning, nux v., calcis sul When the cough is 
combined with soreness and tenderness in the um- 
bilical region, nux v. When the cough is worst at 
night, chamomil, capsicum, rhus. When it only 
appears at night, hyosciamus. When equally day 
and night, ignatia. When the coryza is uncommonly 
violent, euphrasia, ignatia. 

When the dry cough is of a violent and spasmodic 
character, ending in retching, and vomiting of mucus, 
followed by great exhaustion, nux v., ipecac, pulsat., 
bellad., mere, drosera, bryonia. If the cough is dry 
and spasmodic, and unaccompanied by retching or 
vomiting, hyosc, cina, lactuca, conium, ipecac, bellad. 
A violent shattering, spasmodic cough, which does 
not permit the patient to get his breath, arising from 
an intolerable tickling in the upper part of the wind- 
pipe which is free from mucus, attacking and awaken- 
ing from sleep at night, has, according to Hartmann, 
been frequently cured by belladonna 30. The follow- 
ing remedies are also sometimes indicated in dry 
cough; calcis carb., sulphur, lycopod., phosphor., soda 
mur., iodine, spongia, barytes. 

In cough with copious expectoration, pulsat., dulc, 
chamomil., bryonia, arnica, stannum, sepia, lycopod., 
silex, phosphor., graphit, soda mur., senega. 

In catarrh accompanied by hoarseness, aconit., 
antimonii tart., calcis sul., calcis carb., carbo veg., 
mangan. acet., merc,phosph., soda mur., spong., sulph. 



CATARRHUS EPIDEMICUS. 73 

In catarrh accompanied by severe oppression at the 
breast, with or without shortness of breath, antimonii 
tart., ipecac, lobelia. The former of these has been 
for many years employed by some practitioners of the 
old school in this city for the cure of catarrh ; one 
grain of antim. tart, being dissolved in a quart of 
water, of which a table-spoonful was given at a dose. 
And the lobelia I have employed in several such 
cases with the most striking improvement. For the 
completion of the cure pulsat, bryonia, or other re- 
medies were in some cases necessary. 

For further particulars in relation to cough, see 
tussis, and phthisis. 

CATARRHUS EPIDEMICUS. Influenza. 

In the diseases to which this term is applied, it is 
more frequently the case than in sporadic catarrh, 
that the catarrhal symptoms are less important than 
the other symptoms of disease which appear cotem- 
poraneously with them. As these vary very much 
in different epidemics it will happen as already re- 
marked that different remedies will be found useful 
in different years. The remedy which will be most 
successful in an existing influenza, cannot be ac- 
curately known, except from experience in the present 
invasion. But a knowledge of the remedies which 
have proved most advantageous in past epidemics 
may be useful, and I shall therefore briefly state the 
chief information I have collected on the subject. 

Camphor a t when given in frequent and constantly 
increased doses has, according to Hahnemann, proved 
to be a palliative in some of the influenzas of Germany, 
"but a very valuable one, inasmuch as the disease 



74 CATARRHUS EPIDEMICUS. 

has only a short period of duration (verlauf). It 
does not indeed shorten the duration of the disease, 
but it renders it much milder and thus conducts it to 
its termination without danger." 

"By nux vomica in a single most minute dose, 
will this disease be frequently removed in the course 
of a few hours." Hahnemann. 

Hartmann found the nux vomica useful in those 
cases of influenza in which constipation accompanied 
the disease, but arsenicum where debility, diarrhoea, 
great thirst and paralytic weakness of the limbs were 
the most prominent symptoms. Tinctura acris, given 
about two hours after camphora, proved also very 
useful. 

Aconit., agaric, arnica, bettad., bryonia, cinch., 
mere, phosphor., pukat., sabadilla, scilla, senega, silex, 
spigelia, stannum and veratrum have proved useful in 
influenza. 

Within a few years the term grippe has been ap- 
plied in Europe to epidemics which do not appear to 
differ materially from influenza. The introduction 
of new names, where there is nothing to determine the 
applicability of the old or the new term, is to be dis- 
couraged, and therefore in introducing the latter here 
I do not wish to be considered as adopting it. I only 
employ it because Dr. Hartmann's treatise, (in his 
Therapie acuter Krankheitsformen) upon the grippe 
shows the nature of the treatment required in severe 
influenza. It is to be remarked that there is not one 
of the circumstances or symptoms which he considers 
as belonging to grippe and distinguishing it from 
influenza, which does not equally belong to the latter. 

Grippe. Another kind of catarrhal fever is the 
grippe which was prevalent in the beginning of the 



CATARRHUS EPIDEMICUS. 75 

year 1833, which exhibited far greater differences in 
its appearances than influenza, and also far more 
dangerous sequelar diseases ; for, where disease of the 
breast was present, after an attack of the grippe a 
phthisis was almost inevitable, and the patient could 
but seldom calculate on recovery. In most instances 
its attacks were sudden, but in a few cases it developed 
itself gradually, and an uncommon debility accom- 
panying the catarrhal symptoms, with a heaviness 
and soreness of the limbs, particularly of the lower ex- 
tremities, distinguished the disease, with the greatest 
certainty, from every other kind. This condition of 
the limbs was frequently associated with headache 
and a disposition to vomit, and frequently with sore- 
throat and some hoarseness. The obstruction of the 
nares was soon very severe and combined with violent 
tearing pains in the forehead and in the bones of the 
face, with a sensation of pressure in the rest of the 
head, vertigo, tearing pains in the ears, &c. 

The disease moreover possessed many peculiarities, 
for example, it awakened, in those who were not per- 
fectly healthy, old, slumbering symptoms of disease, 
and rendered their cure difficult; it attacked the same 
subject repeatedly, but always in a new form ; it fre- 
quently continued for a long time with apparently 
unimportant symptoms, which might be removed by 
proper remedies but reappeared after the slightest 
irregularities of diet, often even on the next day ; it 
also readily complicated itself with other diseases, 
modified their course, and aggravated the evil. 

Frequent smelling of camphora on the first ap- 
pearance of the symptoms would suppress the disease, 
but after a couple of days it still came to complete 
development. When inflammation of the thoracic 



76 CATARRHUS EPIDEMICUS. 

viscera was present, mix v., after previously admin- 
istered aconit., always proved useful. Mercurius 
when repeated every or every other day, was the most 
adapted to remove the disease or even to destroy it in 
the germ, especially when, with severe affection of 
the head, throat and breast, there was a dry, shatter- 
ing, slowly loosening cough. When the trachea was 
much irritated or inflamed, so that the acute and 
violent pain almost prevented speech, and the voice 
was very much changed, frequent smelling of phos- 
phorus 30 was of service. 

The disease often appeared in the form of a sporadic 
cholera, and in these cases the catarrhal affection was 
unimportant, while the debility was very prominent; 
here veratrum was always beneficial. When nervous 
symptoms showed themselves, as was not unfre- 
quently the case, if the patient was delirious (phan- 
tasirte), had a wild, staring appearance, and complain- 
ed of great tenderness of the abdomen, the pulse being 
full and hard, I gave several doses of aconit. with 
marked advantage, and conquered the remaining 
symptoms by a dose of pulsatilla, which also proved 
serviceable in removing a pappy, insipid taste, with 
slimy coating of the tongue and loss of appetite, which 
frequently remained for a long time. 

The severe pressing pain in the forehead and ac- 
companying cough with easy, mucous expectoration, 
were removed by bryonia. But when the cough was 
dry and spasmodic, the headache intolerable and ag- 
gravated by every motion, by speaking and by bright 
light; smelling of belladonna always afforded relief, 
and in a couple of hours a disease, already bordering 
on inflammation of the brain, was conquered. 

The cough which had its exciting irritation in a 



CEPHALALGIA. 77 

rattling as if from a collection of mucus under the 
sternum, was speedily removed by a dose of cinchona. 

The cough which, though accompanied by free ex- 
pectoration, produced such a soreness under the short 
ribs that the patient was compelled to press his hands 
over these parts whilst coughing, always yielded to a 
dose of bryonia. 

The obstinate spasmodic cough which frequently 
tormented the patient for an hour, was often removed 
by a single dose of hyosciamus, and in a few cases by 
belladonna. If it was combined with vomiting, that 
is, if it did not cease until a quantity of mucus was 
brought up by vomiting, there was no remedy better 
adapted than conium. But if it appeared always 
after meal-times and then the food was every time 
vomited up, ferri acetas was the appropriate remedy. 

In those cases where the grippe favoured the pre- 
disposition to phthisis, and threatened to develope it 
rapidly, one or two doses of stannum 12 were fre- 
quently capable of conquering this incipient disease. 

Not unfrequently, as was observed by Dr. Gross, 
obstinate inflammations of the eyes, with subsequent 
ulceration of the cornea and great intolerance of light, 
followed in the train of this disease. Arsenicum 
proved remarkably helpful against these. Belladonna 
in frequent doses afforded speedy but not permanent 
relief. 

CEPHALALGIA. HEADACHE. 

Acidum nitricum cured a painful tenderness of the 
external coverings of the head, which only appeared 
when the patient laid down. 

Aconitum. Case. In a woman set. 54 ann. of 



78 CEPHALALGIA. 

irritable disposition; from exposure to cold. She was 
peevish, fretful, and complaining of trifles, and had 
violent headache, with loss of appetite, and inability to 
sleep. 

Case. Pain in a point on the left parietal bone on 
every movement and exposure to the air; with pain in 
one side of the face, and swelling of the lower jaw. 

Actcea. Hemicrania, when it consists in a severe, 
tearing, gnawing pain in the right temple, with co- 
temporaneous boring and cutting pains in the interior 
of the head; and is commonly most tormenting at 
night. 

Arnica. Case. A man set. 35 ann. whilst entering 
a low door struck his head with such force against 
the lintel, that he fell back and laid for some minutes 
completely stunned. He however shortly recovered, 
and pursued for some days the exciting and laborious 
sport of hunting. But the pain which at first had 
not been very severe, increased so much in two weeks, 
that he sought medical aid ; and leeches, embrocations 
and various other remedial means were employed 
during many days without relief. He had a pressing 
pain in the forehead ; heat in the face and head, the 
rest of the body not being hot; rushing in the ears; 
contracted pupils; sickness in the morning; thirst, 
constipation; fever in the evenings, and anxious 
dreams. He was peevish and irritable. Arnica, gtt. 
i. 6, caused increased pain for an hour and a half, after 
which he fell into a comfortable sleep, unattended 
by dreams, from which he awoke very much im- 
proved, and in forty-eight hours was perfectly well. 

Arsenicum cured a violent pain in the left side of 
the forehead and in the temple, in a girl set. 15 ann. 
There was a small spot on the forehead, of a brownish 



CEPHALALGIA. 79 

red colour, with a black centre, which was painful 
on being touched. The arsen., in the dose of 1|30, 
was given daily for three days. 

(In a case of cephalalgia rheumatica occurring to a 
young man, and of many weeks duration, where 
aconit, bellad., and nux had failed, I succeeded in 
effecting a perfect and permanent cure with arsen. 30 
in repeated doses. G.) 

Aurum has many times removed a rushing and 
roaring in the head, occurring in hysterical females. 

Belladonna. Case. In a maiden lady set. 25 ann. 
The paroxysms commenced with chilliness over the 
back and shoulders in the morning on rising from bed. 
This was of short duration, but left her feeling quite 
unwell. Not long after the chill, nausea without 
vomiting occurred, and at the same time severe press- 
ing tearing pain in the whole head, but worst in the 
forehead, which upon every motion of the body or 
eyes became intolerable. Every breath of air, open- 
ing or closing the door, or a loud footstep, increased 
the pain. After a time the pain seated itself entirely 
in the forehead, on which a hot spot could be felt, and 
at the same time there was severe aching at the root 
of the nose. Violent palpitation of the heart, every 
pulsation being severely felt in the head, and soreness 
and debility of the limbs, accompanied the paroxysms, 
which occurred every seventh or fourteenth day. 
The complaint had existed for eight years, and medi- 
cal treatment had been always resorted to for its re- 
moval. Emetics had been freely employed but 
without benefit. After having discontinued the use 
of coffee and all medicines for eight days, bellad. gtt. 
i. 24 was given two days before the period of the ex- 
pected paroxysm, at which time an attack occurred, 



80 CEPHALALGIA. 

but so slight as not to compel her to lie down. No 
other appeared till six weeks afterwards, when there 
was a severe attack from a long walk. After this 
bellad. gtt. i. 30 was given, and*she remained exempt 
from her disease. 

Case. In a woman set. 24 ann. The disease was 
of three years' duration, and had ceased but seldom, 
and for short periods, notwithstanding much medical 
treatment. The paroxysms which commenced about 
four o'clock in the afternoon and continued till three 
o'clock in the morning, began with burning and stick- 
ing in the gums which swelled rapidly and became 
almost of an exsanguine appearance. After a quarter 
of an hour, swelling of the upper lip and of the right 
side of the face, with diminution of the pain in the 
gums. There then occurred screwing, tearing, pinch- 
ing and sticking pains, and a rushing sound in the 
right ear; sticking and boring pains in the right 
temple ; sticking and tearing pains in the whole of 
the back of the head ; and sticking and drawing pain 
behind the ear and in the swelling of the face. There 
was great tenderness of the scalp preventing her from 
lying down at night. The submaxillary glands were 
slightly swollen, but painful only on pressure. For 
many years she had been subject to swelling of the 
glands of the neck. Appetite moderate. Bowels and 
menstruation regular. Disposition sorrowful. As 
adapted to the symptoms of the case and on account 
of its peculiarly beneficial operation on the lymphatic 
system, as a disorder of this system was apparent,* 



* The substance of a note by Dr. Schubert who has reported 
this case in the Archiv fur die homceopathische Heilkunst, may 
aid in the removal of some misconceptions in relation to homceo- 



CEPHALALGIA. 81 

bellad. was given in the dose of gtt. i. 30 at ten o'clock 
in the forenoon, after she had discontinued the use of 
all medicines for some days. There was no change 
necessary in her diet, but she was recommended to 
use more exercise in the open air than she had been 
previously accustomed to do. The next paroxysm 
after the medicine was rather more severe than com- 
monly. But on the following day it was much 
slighter, did not attack till six o'clock, and ended in 
three hours. Every day the attack was lighter. On 
the fifth day there was none. On the sixth day a 
slight one. On the morning of the seventh day 
pulsat. gtt. i. 12 was given, after which there was no 
paroxysm for four months, when, the disease show- 
ing a disposition to return, bellad. was again given 
and the complaint permanently disappeared. 

Cephalalgia from exposure to cold, cutting of the 
hair, or being wetted, accompanied by vertigo and 
dulness of head, has been cured by bellad. gtt. i. 20. 

Hemicrania affecting the right side and occurring 
weekly, in a man set. 56 ann. The pain was press- 
ing and stretching, attended by vertigo and weakness 
of memory. The face was red and tumid; acrimo- 

pathic medicine which have found place in this country as well as in 
Germany. 

Homoeopathia has been reproached with entirely neglecting to 
observe what is commonly esteemed by the medical science of the 
day as particularly wojfl^ of attention, while it merely considers 
groups of symptoms, TOis is such an untruth as cannot be assert- 
ed by any one who has attentively perused the homoeopathic 
writings. For this science, besides its attention to symptoms and 
circumstances which may appear of trivial importance, also con- 
siders the character of the disease ; whether it is or is not inflam- 
matory, and what tissues, as far as can be ascertained, principally 
suffer. 
6 



82 CEPHALALGIA. 

nious tears ran from the right eye, the pupil was con- 
tracted and the white of the eye discoloured. Intoler- 
ance of light ; stitches in the right ear, with hardness 
of hearing. Bellad. 2|30, twice given in eight days, 
effected a cure. 

Bryonia. Case. In a married woman set. 30 ann. 
blond, of relaxed habit, and mild, soft and timid dis- 
position. Headache commencing in the morning, 
compelling her to go to her bed in the early part of 
the afternoon and arriving at its height in the evening, 
when she became almost senseless. The pain took 
in the whole brain, and seemed like a pressing 
together. She could not endure either noise or light, 
and became peevish, fretful and quarrelsome. In the 
afternoons the headache was accompanied by palpi- 
tation of the heart, constriction of the breast, nausea 
and retching. The paroxysms were excited by 
taking cold, sitting up at night, care or other mental 
emotions, and were sometimes accompanied by fever. 
Bryonia gtt. i. 3 administered during the paroxysms 
procured speedy relief. 

In a case very similar to the preceding, occurring 
in a female set. 20 ann. of fretful and quarrelsome 
disposition. After nux had abated the violence of the 
paroxysms, two doses of bryonia effected a lasting 
cure. 

Calcis carbonas. Case. In a maiden lady set. 20 
ann. Dulness of the head. P#ji in the forehead as 
if the head would burst. Hammering headache in 
the open air. Sometimes humming in the head, with 
redness of the cheeks. Falling out of the hair. 
Misty before the eyes especially while reading. Two 
stools daily and at times diarrhoea. Cutting pain in 
the abdomen, and pressing pain in the loins in 



CEPHALALGIA. 83 

the menstrual periods. Frequent waking at night; 
anxious dreams; disposition to complain; want of 
cheerfulness; calcis carb. 1|30 effected a cure. 

In pressing pain in the upper part of the head, 
arising in the free air; drawing pain in the forehead 
with coldness thereof, and nausea ; tearing in the right 
side of the forehead with pain of the part on being 
touched; calcis c. has been found useful. 

Carbo veg. Case. Arising from wine drinking and 
overloading the stomach. Confusion of the head, 
determination of blood to the head; indisposition to 
employment, debility, loss of appetite and sensation of 
roughness of the mouth and tongue. 

Cinchona. Case. The scalp on the back of the 
head felt sore ; the roots of the hair were sensitive to 
the slightest touch. Tr. cinch, gtt. i. effected a cure 
in thirty hours. Accompanying pain and stiffness in 
the loins were subsequently removed by bryonia, gtt. 
i. 3. 

Hemicrania of six months' duration, but with 
several longer or shorter interruptions, in a girl a3t. 
15 ann. The left side of the head was affected with 
a most painful sensation as if the brain shook and 
struck against the skull. It was so severe that she 
could not keep her head still, but constantly shook it 
up and down. At the same time there was a sensa- 
tion as if the skull would burst upwards. The pain 
was most severely aggravated by motion. The left 
eye was painful. The left side of the neck painful 
and stiff. The disposition complaining and depressed. 
Cinch, gtt. ss. 12 diminished the pain so rapidly that 
it entirely disappeared in three or four hours. At the 
end of twelve hours it again returned with its original 
severity. After twelve hours more, another but 

6* 



84 CEPHALALGIA. 

smaller dose of cinchona was given and the headache 
disappeared, and was not re-excited by active motion. 
At the end of six weeks there was a slight relapse, 
which cinchona again rapidly overcame. 

In hemicrania, cinchona has been recommended 
when the affected part is sensitive to the slightest 
pressure. 

Cocculus has removed headaches accompanied by 
a sensation of hollowness of the head. It has also 
proved useful in constrictive or screwing-in pains in 
the head after eating or exercise, with vomiting or 
great anxious restlessness. 

Case In a woman set. 28 ann. Frequent pain 
in the forehead with bilious vomiting. Pressure in 
the stomach. Pain in the right hypochondrium, 
changing from pressing to sticking upon bending 
forward; costiveness. Painful hemorrhagic men- 
struation, and subsequently, hemorrhoidal tumours; 
debility; sweat; restless sleep; cured by two doses of 
cocculus, gtt. i. 18, in eight days. 

Colocynthis cured an arthritic cephalalgia which 
recurred every afternoon. It has also removed violent 
tearing headache, accompanied with asthmatic op- 
pression at the breast. 

Mercurius has proved useful in tearing burning 
cephalalgia, chiefly affecting the temples. 

Nux vomica. Hemicrania in a man set. 30 ann. of 
sound but irritable constitution, and of sedentary 
habits. Shortly after awaking in the morning con- 
siderable affection of the head with disgust towards 
food, drink, coffee and tobacco. Then, sticking or 
pressing pain immediately above the left orbit, which 
passed downwards at times into the eye, and was in- 
creased by pressure. Intolerance of light, dimness of 



CEPHALALGIA. 85 

sight, and flow of hot tears. All the parts around the 
eye were hot. At the same time the left nostril was 
generally obstructed, and the strongest sternutatories 
would not excite sneezing, which was desirable, be- 
cause as soon as it occurred, the paroxysm ceased. 
During the severity of the pain copious sweats broke 
out, after which he felt worse than before. Some- 
times in the commencement of a paroxysm he felt a 
disposition to vomit. In the paroxysm his thoughts 
were often confused; and after it the intellectual 
powers were much affected, and he was forgetful and 
incapable of much mental exertion. Great sensibility, 
he spoke unwillingly, and the conversation of others 
and any noise affected him unpleasantly. The pa- 
roxysm continued to increase in severity until towards 
noon, when it terminated in a short sleep, from which 
he awoke cheerful and with a good appetite. The 
paroxysms occurred daily. "This form of disease 
was very similar to the nervous hemicrania observed 
in coffee drinkers, and described by Hahnemann. 
The patient was very fond of coffee, and used it in 
large quantities; and this might with propriety be 
considered as the chief source of his disease. He 
must therefore wholly avoid it, The above symptoms 
were best adapted for nux v., as this not only pro- 
duces them, but also possesses the property of exciting 
the severest disease in the morning hours. Besides, 
it is one of the chief antidotes of coffee, and it was 
therefore to be preferred to every other medicine. It 
was given in the evening in the dose of gtt. i. 24, and 
even in this dose operated powerfully." (Dr. Wis- 
Hcenus). The next paroxysm was more violent and 
of longer duration, but the second was much weaker, 
and after the third day they had ceased. On the 



86 CEPHALALGIA. 

tenth day, on account of a return of the symptoms in 
much weaker form, a similar dose was given, and in 
two days he was perfectly well and remained so at the 
end of two years. 

A similar case in a female set. 35 ann., but attended 
by severe aggravation of the hemicrania in wet or 
stormy weather, and by obstinate constipation, was 
cured by mix v. 3. 

Nux v. has removed cephalalgia with a sensation 
of fluctuation in the brain, pressing pain in the oc- 
ciput, and pressing beating headache in the morning 
on mental exertion ; after eating, pain in the temples, 
which was moderated by warmth and increased by 
wine and coffee ; attended by bitter taste in the morn- 
ings and constipation for three or four days, and then 
great exertion to effect a discharge. The patient 
was passionate, and over sensitive to noise and odours. 

Also, morning headache, with vertigo, as if the 
brain moved round in a circle ; dimness of sight, and 
at times unconsciousness; intolerance of light; ringing 
of the ears; weakly feeling after eating, eructation, 
beating and burning in the region of the stomach, and 
flatulent distension and rumbling in the abdomen. 

Nux v. has also cured periodic headache; the pains 
being pressing, tearing or sticking, beginning in the 
morning, worst at noon, and ending in the evening; 
in some cases attended with pain in the region of the 
liver; nausea, retching; eructation or vomiting of 
bitter fluid, or constipation. 

Platinum has been successfully employed in the 
cure of a severe pinching pain in the fore part of the 
head, especially above the root of the nose; with heat 
and redness of the face, complaining disposition, and 
too frequent and copious menstruation. 



CEPHALALGIA. 87 

Pulsatilla. Case. In a maiden set. 24 ann. of 
large and powerful frame, and of a very yielding dis- 
position. In the morning on awaking she had a very 
severe headache, which at first only affected the fore- 
head, but afterwards the whole head, and produced a 
sensation as if the head was pressed in a vice ; vertigo 
and heaviness of the head upon sitting up in bed ; 
pain increased by thinking and speaking; great de- 
bility; alternating paleness and redness of the face. 
Sickness and sensation of crawling at the stomach ; a 
constrictive feeling over the breast as if the clothes 
were too tight; great dryness of the mouth, but no 
thirst. Disgust of food ; frequent transitory shivering 
over the whole body ; weak, scarcely perceptible, slow 
pulse; over-sensibility of the disposition; she com- 
plained continually. Pulsat. gtt. i. 12, given in the 
forenoon, was followed by a short and slight aggrava- 
tion, after which there was a progressive improve- 
ment till four o'clock in the afternoon, when there was 
a slight exacerbation, but she enjoyed a good sleep 
the following night, and was entirely restored to health 
in forty-eight hours. 

Hemicrania, in a girl set 8 ann. of a soft and mild 
temperament and amiable disposition. Pulsating 
and sticking pain in the left side of the forehead, 
alternately in the mornings after getting up, and in 
the evenings after lying down; diminished by ex- 
ternal pressure and in the open air, but aggravated in 
the house, on lying down, and on stooping, or by 
moving the eyes. The headache continued for many 
hours, and its cessation was followed by severe pain 
in the stomach, succeeded by acid or bilious vomiting, 
after which there were severe cutting pains in the 
lower part of the abdomen. Pulsat. gtt, i. 6 produced 



88 CEPHALALGIA. 

an aggravation in the succeeding paroxysm, but the 
later paroxysms were lighter and lighter, and entirely 
disappeared by the fifth day. At the end of two 
months there was no return of this disease, which 
had been of six months' duration, and had resisted 
the ordinary treatment. 

Case. In a robust woman a3t. 32 ann. who had 
been afflicted for several months by a painful draw- 
ing and stinging pain in the left temple which was 
absent during the day, but recurred at the same time 
every evening with the sensation of the left side of the 
crown of the head being lifted up, which deprived 
her of all rest at night. Accompanying the hemi- 
crania, there was a constant humming and buzzing 
in the head, tearing pain in the left ear, and in the 
last six weeks painful metrorrhagia. Both the memory 
and body had been much weakened by the disease. 
The pulse was small and 60 in the minute. Disposi- 
tion mild. A bleeding had aggravated all the symp- 
toms. Pulsat. gtt. i. 3, and in six days the disease 
had nearly disappeared. A relapse occurred three 
weeks afterwards from taking cold, when the com- 
plaint was perfectly cured by rhus gtt. i. 6. 

Rhus has cured headache which returned peri- 
odically, with intervals of some hours, beginning with 
stitches in the ears, then in the temples, forehead and 
root of the nose, and extending to the jaws, with pain 
in the teeth and gums. 

Case. Severe pain in the occiput compelling to 
lie down ; and excited by trouble, or by exercise in the 
open air. The complaint occurred in a hysterical 
woman aet. 40 ann. and was cured by repeated doses 
of rhus gtt, i. 6. 



CEPHALALGIA. 89 

Rhus has also proved curative in some cases of 
arthritic cephalalgia. 

Hemicrania. In this form of cephalalgia rhus has 
proved serviceable; see the last case of pulsatilla 
under the present head. 

Sepia. Hemicrania in a maiden set. 19 ann. Heavi- 
ness and confusion of the head in the morning. He- 
micrania with severe tearing, boring and sticking 
pain ; the patient had to close her eyes and press upon 
them with her hands. During the paroxysms there 
was disgust of food. Three doses of sepia 3|30 effect- 
ed a cure. 

Silex in the dose of 2 1 30 cured a sticking and tear- 
ing pain in the head, which extended itself through 
the bones of the face into the lower jaw and the teeth. 

Sulphur. Case. A worker in lead and tin had 
suffered for several years from attacks of a pressing 
and tearing pain, and numbness of the head, with 
loss of appetite and sickness at the stomach. Bryonia 
and nux v. each afforded much temporary relief, but 
the disease was permanently removed by repeated 
doses of sulphur 3. 

Case In a girl set. 11 ann. Disease of three 
months' duration. Pressing pain in the fore part of 
the head in the morning on awaking and continuing 
throughout the day, incapacitating the child from 
learning. After spiritus sulphuris 1|10 the disease 
gradually diminished in violence, and at the expira- 
tion of three weeks entirely disappeared. At the end 
of nine months there had been no return of it. 

Sulphur has proved useful in the following kinds 
of headache: in sticking pain in the frontal protu- 
berances, with vomiting of the ingesta; in stitches in 
the lefil side of the head with burning in the forehead, 



90 CHOLERA. 

tearing pain through the head, whizzing in the ears 
and nausea; in drawing and cracking in the upper 
part of the head extending to the occiput, frequently 
with nausea. Also in cephalalgia from repelled psora. 

Taraxacum in the dose of gtt. i. of the tincture, 
cured a violent headache which only occurred whilst 
walking or standing. 

Tr. acris and veratrum have been recommended as 
useful in hemicrania. 



CHOLERA. 

This term has for a long time been applied to 
a cotemporaneous vomiting and purging, whether 
of bilious or other matters. Within a few years 
it has been applied to cases in which these symp- 
toms were not present, but which were the result 
of the action of a pathogenetic agent which, in a 
great majority of the cases in which its operation 
was severe, produced vomiting and purging of a 
peculiar character. As the latter appears to be a dis- 
tinct disease, and therefore to require a separate con- 
sideration, which is also proper in relation to the 
cholera of infants, I shall treat of the diseases to which 
this term is applied under the heads of Cholera 
Morbus, Cholera Infantum and Cholera Asiatica. 

CHOLERA MORBUS. 

This name is peculiarly applicable to sudden and 
violent attacks of vomiting and purging, arising from 
the action of cold on the body after long continued 
exposure to heat, which is a form of the disease that 



CHOLERA MORBUS. 91 

occurs frequently in the summer season, and attacks 
most generally at night. It is most commonly at- 
tended by copious discharges of bilious matter, and 
its attacks are very frequently invited by over eating, 
especially of fruits or of vegetables which are difficult 
of digestion. As there is reason to believe that it is 
sometimes induced by the epidemic constitution of 
the atmosphere, though it seldom prevails very ex- 
tensively, it is to be expected that different remedies 
will be peculiarly useful in different seasons. 

This term is also applied by some authors to the 
vomiting and purging produced by deleterious or 
poisonous substances taken into the stomach. It is 
sufficient to remark in relation to the forms of the 
disease arising from these causes, that the proper 
treatment consists in aiding nature in the efforts she 
has already established for the removal of the peccant 
matters. Or where their removal is rendered difficult 
by the insolubility and ponderosity of the substance, 
the exhibition of such remedies as either chemically 
neutralise it or favour its solution ; at the same time 
that oily or mucilaginous matters are administered for 
the purpose of involving the poisonous particles and 
shielding the lining membrane of the stomach and 
bowels, as far as is possible, from its destructive action. 
Without the neutralisation or removal of the sub- 
stance, the vomiting and purging of which it is the 
exciting cause cannot be suppressed without injury 
to the patient. But if the cholera continues, after we 
have reason to believe that the substance which has 
excited it has been entirely removed from the stomach 
and bowels, it will be proper to administer those re- 
medies which have been found antidotal to its opera- 
tions. As a detail of these would be here out of place, 



92 



CHOLERA MORBUS. 



I shall now proceed to the consideration of the re- 
medies which have proved useful in those forms of 
vomiting and purging to which the term of cholera 
morbus is most appropriate. 

Arsenicum. This remedy has proved useful in 
cholera morbus attended by incessant thirst, vomiting 
of a green matter, purging, pressing pain in the epi- 
gastrium, and severe burning in the lower part of the 
abdomen, with extreme exhaustion and debility. 

Chamomilla has cured cholera morbus. 

Cinchona. A case of this disease, occurring in a 
man set. 81 ann., was cured with cinchona 12. A 
similar attack, four years afterwards, was removed by 
the same remedy. 

Dulcamara effected a cure of cholera morbus arising 
from "cold drinking," in which, accompanying the 
bilious vomiting and purging, there was great pain in 
the abdomen, especially in the umbilical region; burn- 
ing pain in the region of the stomach; great thirst, 
and extreme debility. 

Ipecac. Dr. Zinkthan states that he cured with 
this remedy, thirty-nine cases of cholera morbus oc- 
curring between the first of June and the latter end 
of September. The disease began with slight chilli- 
ness, or even a shaking chill, which was followed by 
heat of the whole body, but especially of the lower 
part of the abdomen. The tongue was rather dry and 
covered with a yellow coating. A sensation of pres- 
sure in the region of the stomach preceded the vomit- 
ing, which was accompanied by a general sweat, great 
thirst, and one to three hours after its commencement 
by bilious diarrhoea. The matters discharged by 
vomiting were first thin yellow bile; afterwards a 
bilious, green water of a bitter and acid taste, and 



CHOLERA INFANTUM. 93 

pungent odour. The stools were at first bilious, then 
mucous with white flocculi, and sometimes some 
blood. After a time, the vomiting gave place to retch- 
ing, and the diarrhoea to a most painful tenesmus un- 
accompanied by any discharge. The breath was 
short ; the urine was small in quantity, and of a dark 
yellow colour. The pains in the abdomen were very 
severe. The powers sunk rapidly, the sweats were 
profuse, and in some cases cramps appeared over the 
whole body. Ipecac, well triturated with sugar, was 
given in water every three or four hours, in doses of 
the eighteenth or thirtieth part of a grain. In most 
instances in a quarter of an hour to an hour after the 
first dose there was a striking diminution of the worst 
symptoms, and in many cases but two and in the 
worst cases but six doses were required to effect the 
removal of the disease. 

Veratrum has proved eminently useful in cholera 
morbus, even when the patient has become speechless 
and unconscious, and when corpse-like coldness of the 
body, excessive debility, cramps, retention of urine 
and cold sweats, have been present. The recorded 
cases of cures effected by this remedy are very 
numerous. 



cholera infantum. Summer Complaint. 

This disease, which is very prevalent in the great 
cities of this country in very warm summers, attacks 
infants from three months to two years of age. Those 
who are brought up by hand, or are early weaned, or 
who receive an insufficient quantity of milk from the 
breasts of their nurses, are most liable to it, But it 



94 CHOLERA INFANTUM. 

is often induced in those who do not suffer under these 
disadvantages, from food unsuited to the stomachs of 
infants, and especially from fruits. There is an 
erroneous opinion very prevalent in this city that the 
dewberry and blackberry (the fruits of the rubus pro- 
cumbens and villosus) are wholesome in the summer 
complaint. That in some very rare instances they 
may have proved curative is quite possible, but the 
properties which have rendered them medicinal in 
some cases, make them injurious in others. It is not 
on theoretic grounds that these objections are made 
to their use, but upon those of experience, as I have 
more than once had occasion to regret their employ- 
ment by the parents of infants who were under my 
care on account of cholera infantum. The physician 
should be very careful to impress on the minds of the 
parents, the absolute necessity of withholding all 
kinds of fruit from infants under two years of age, 
who are suffering, or have recently suffered, under 
cholera infantum or diarrhoea, for they are capable, 
even in very minute quantities, of reproducing the 
disease. In one case I saw a relapse of cholera in- 
fantum apparently induced by allowing an infant to 
bite upon a slice of apple with its toothless gums. 

Cholera infantum, though it sometimes rapidly di- 
minishes the powers of the system, and advances 
with hasty strides to a fatal termination, still more 
frequently assumes what may be termed a chronic 
form, and continues for many weeks before it 
destroys the patient. In many, perhaps a majority 
of cases, it terminates in symptoms of cerebral dis- 
order resembling those of hydrocephalus, which in 
some instances appear to arise from a complete metas- 
tasis of morbid action; the gastric and enteric disorder 



CHOLERA ASIATICA. 95 

subsiding when the symptoms of disorder of the brain 
make their appearance When this metastasis has 
taken place, death generally follows in the course of 
twenty-four or forty-eight hours. In this stage, though 
recovery may not be always hopeless, yet the chance 
of rescue for the patient is exceedingly slender. 

In the treatment of cholera infantum, it should be 
recollected that it frequently happens, after this com- 
plaint has continued for a considerable length of time, 
that the child shows a strong craving for fat meat, 
mostly ham, or for butter ; and that the gratification 
of this appetite is generally followed by great im- 
provement, or even by rapid convalescence. 

The following remedies are the most important in 
the treatment of this disease; namely, arsen., bellad., 
colds acetas, chamomil. and ipecac. Of these, bellad. 
has cured the disease where there was vomiting of an 
acid, watery fluid and mucus, and diarrhoea with 
mucous stools. Chamomilla has proved remarkably 
useful where the diarrhoea was the predominant 
symptom, and the evacuations were green and slimy. 
And calcis acetas, in repeated doses, has cured the 
disease when the discharges were acid. 

In addition to the remedies above mentioned, the 
others which have been found useful in cholera 
morbus and diarrhoea, may often deserve attention. 



CHOLERA ASIATICA. 

This disease is the result of the action of a peculiar 
pathogenetic agent; and the name has been applied 
because vomiting and purging, though not its uniform, 
are its very frequent attendants. 



96 CHOLERA ASIATICA. 

When the action of this agent is manifested by 
spasmodic muscular contractions of a tonic character, 
great debility, sunken eyes, blueness of the face, cold- 
ness of all parts of the body, hollowness and hoarse- 
ness of the voice, great depression and anxiety, burn- 
ing in the stomach and oesophagus, painfulness of the 
epigastrium on pressure, cramp pains in the gastro- 
cnemii and other muscles; and there is neither thirst, 
nausea, vomiting nor diarrhoea; the internal adminis- 
tration of the alcoholic solution of camphor, in doses 
of one drop repeated every five minutes, at the 
same time bathing the extremities with the same 
article, is recommended by Hahnemann and others. 

But where the spasmodic contractions are of a 
clonic character, and there are frequent discharges, 
both by vomiting and purging, of a watery fluid mixed 
with white, yellow or red flocculi, with unquenchable 
thirst, loud rumbling in the abdomen, anxiety, sigh- 
ing and moaning, coldness of the whole body, espe- 
cially of the tongue, marbled blueness of the hands, 
arms and face, staring and sunken eyes, diminished 
sensibility, slow pulse and painful cramps of the 
limbs ; the camphor may be tried as above, but should 
it fail of affording relief, cuprum 1 or 2(30 every half 
hour until the vomiting and diarrhoea cease, and 
warmth and comfort return. But no other medicinal 
agents should be employed at the same time, as these 
would disturb its operation and prevent its beneficial 
effects. Similar benefit may be derived from veratrum 
1 or 2|30 which should be allowed to operate without 
the administration of a second dose until the improve- 
ment from the first dose ceases to advance. 

When there is severe burning in the stomach, 
bowels, and oesophagus, great thirst and debility, 



CHOREA. 97 

painful constriction of the breast, burning dejections 
and great restlessness and jactitation; arsenicum 1 or 
2|30 is useful. 

In the stage of collapse, carbo veg., acid, hydro- 
cyanic, and laurocerasus have been found very service- 
able. 

When after a return of more comfortable feelings 
the vomiting still continued, ipecac, has been found 
serviceable, though it is generally of little use when 
the disease is violent. 

Dr. Rummell recommends secale in repeated doses 
of 4 or 6 1 12 when the vomiting has somewhat sub- 
sided, but the stools are still unaltered, and every cir- 
cumstance shows that no bile is poured into the 
bowels. He states that yellow or green stools speedily 
follow its employment, and the patient is rescued. 

In the cholera diarrhoea, acid, phosph., cuprum, 
phosph., secale and veratrum have proved useful. 

In the typhus condition which sometimes super- 
venes on cholera, rhus and bryonia are highly re- 
commended. 



CHOREA. ST. VITUS' DANCE. 

A number of different nervous affections have re- 
ceived the appellation of chorea. One of these is an 
imperfect obedience of the voluntary muscles to the 
will; so that irregular and unintended motions are 
consequent on attempting to move any part. Another, 
which frequently accompanies the former, is an in- 
voluntary movement of parts independently of any 
exertion of the will to produce motion. A third con- 
7 



98 CHOREA. 

sists in actual convulsive movements, consciousness 
and sensibility still remaining-, though generally with 
more or less diminution. To these may be added a 
fourth, which most probably is the affection to which 
the name of St. Vitus' dance was originally applied. 
In this the contractions of the muscles are regular; 
and running, leaping and dancing are accomplished 
as if by the exertion of the will ; but these exercises 
are continued by an irresistible impulse, and fre- 
quently until the patient is absolutely exhausted. 
That it may have often depended entirely on an ex- 
cited imagination, and that it may frequently have 
been simulated, is undeniable; but that it may exist 
independently of the imagination, is shown in some 
persons, who, under the influence of the inhalation of 
nitrous oxide or sulphuric ether, exhibit this saltatory 
propensity in a very striking manner. The action of 
the agents which have just been mentioned, is of 
short duration, but it is sufficient to satisfy us of the 
existence of such a morbid condition of the nervous 
system as will produce all the phenomena which are 
attributed to this form of chorea. A similar condition 
of a much more chronic character may therefore 
rationally be expected sometimes to occur. A case 
bearing considerable relation to this form of the 
disease, occurring in a child, and accompanying per- 
tussis, is described under this head. 

As the cases of chorea here presented are but few, 
any index to them is unnecessary. And as in most 
cases more than one remedy has been employed, no 
attention has been paid to the arrangement of the re- 
medies in alphabetic order. 

Case. In a girl; arising from fright. Constant 
involuntary movements of the limbs, except during 



CHOREA. 99 

sleep. Cuprum in repeated doses effected great im- 
provement. 

Case. Spasmodic movements of the right arm and 
leg, with inability to extend the hand properly, the 
fingers being spasmodically bent. Ignatia in repeated 
doses effected a cure. 

Case. Constant twitching of all the muscles. 
Cured with cinchona 1|9. 

Case. Irregular movements of the side of the face 
and limbs of the right side, with stammering speech, 
was cured by cocculus, gtt. i. 9. 

Case of a girl set. 12 ann. ; where the disease had 
supervened on a nervous fever and lasted for a couple 
of weeks, and where, with the usual symptoms of in- 
tellectual weakness and incapability of properly con- 
trolling the contractions of the voluntary muscles, she 
appeared to consider every thing addressed to her as 
very ludicrous, and laughed for a long time and 
loudly; had a dry cough at night; stools and ap- 
petite normal; sleep restless. Hyosciam. gtt. i. 9. 
Sleep and cough better, the latter looser, and she 
laughed much less and exhibited a general improve- 
ment. On the third day bellad. gtt. i. 12, and the 
next day she was well. 

Case of a boy set. 1 1 ann. ; the disease of eleven 
weeks' duration, in which, in addition to a want of 
subjection of the muscles to the complete control of 
the will and the usual mental imbecility, the head 
was drawn back, the pupils dilated; he laid his hands 
frequently on his loins, then bent himself back with 
a painful expression of countenance and distortion of 
the mouth, as if he was seized with violent pain; con- 
stipation and diarrhoea alternating contrary to his 
healthy condition, he was obstinate and self-willed. Tr. 

7* 



100 CHOREA. 

sem. stram. gtt. 1.9 was given and in three days there 
remained nothing of the spasmodic affection, except 
a slight trembling of the lower extremities in walk- 
ing, and of the arms and hands in raising any heavy 
body. For the morbid condition of the bowels cinch. 
1|12 was given, and in a few days he was perfectly 
well. 

In the case of a girl set. 14 ann. ; supervening on 
measles, in addition to the symptoms of mental imbe- 
cility, and want of perfect control over the contrac- 
tion of the voluntary muscles, the eyes, the muscles 
of the face, the arms and lower limbs were in constant 
motion, except during sleep, and her utterance was so 
indistinct that she could scarcely be understood. She 
had a great number of warts on her hands. Calcis 
carb. 2|18 produced homoeopathic aggravation for a 
day, then a gradual improvement of the disease 
during forty-five days, when the amendment ceasing 
to advance, spt. sulphuris 2|0 was given. The im- 
provement after this was rapid, and in three weeks 
she was perfectly well. The warts had disappeared 
with the disease. 

Another case, which is mentioned in the Annals, 
was successfully treated with nux v., calcis carb., 
lycop., phos., tr. acris. and sulphur. 

A girl set. 7 ann. complained of burning and stick- 
ing pain in the left arm, which was soon afterwards 
seized with violent convulsions beginning in the 
fingers and extending through the whole extremities. 
On the fourth day the left lower limb was attacked. 
The neck, even when there was no paroxysm, was 
drawn to the right side, so that the face approached 
the shoulder; after the paroxysms she always felt 
herself well. The paroxysms came night and day as 



CHOREA. 101 

many as eight or ten in twenty-four hours. Ignatia 
was given in repeated doses with some abatement of 
the disease. Cupri. acet. gtt. 1.1 was followed in half 
an hour by a paroxysm, and in four hours by another, 
the most severe she had had in her whole illness, 
which proved to be the last. The girl has since been 
perfectly healthy. 

Case. In a girl set. 12 ann. Numbness of the left 
side of the head and of the left arm and lower ex- 
tremity. Jerking of the head towards the left side 
and severe jerking in the left extremities. The at- 
tack occurred in church. Next Sunday the attack 
was renewed. 

Some hours after the paroxysms, she was well, but 
weak. Stramonium 9 was given, after which there 
was no reappearance of the disease for two years, 
when she was attacked with tearing pains in the left 
side of the head and left ear. Some days later similar 
pain in the right side of the abdomen, with twitching 
in the right side of the neck and right ear, and also 
in the left arm and left side of the head. Pressure on 
the abdomen diminished the violence of the twitching; 
and when this ceased, the arm was numb. Nux vom. 
30 effected a cure. 

Case. Accompanying pertussis in a girl set. 8 ann. 
The cough occasional, and moderate through the day, 
but about ten o'clock at night, after she had slept for 
an hour, she was awakened by a severe paroxysm of 
coughing. After this was ended, she sprang out of 
bed and danced about the room, laughed, sang, struck 
and bit those present whom she did not know, and 
behaved herself very improperly. This lasted for an 
hour, when she laid herself in bed, and slept quietly 
lill morning. After awaking she had but little recol- 



102 COLICA. 

lection of what she had done the preceding evening. 
She had been treated on the old method for some time 
before she was placed under the care of a homoeo- 
pathic physician, but without any improvement. 
Under the homoeopathic treatment, there was for a 
length of time no improvement in the paroxysms, but 
the intervals gradually became longer; at first from 
twenty-four to forty-eight hours, and afterwards to a 
week. And instead of striking and biting, she was, 
during the paroxysm, overflowing with love and 
tenderness; crocus sat. 2|1 was then given on the 
next day after a paroxysm, and the disease never re- 
appeared. The child became more healthy than she 
had been for a length of time before she had pertussis. 
The remedies employed previously to the crocus, 
were stramon., bellad., verat, hyosc, drosera, cuprum, 
cina, and conium. 



COLICA. 

CoLICA FLATULENTA. NuX V., COCCUluS, chain., 

bellad., cinch., ignat., pulsat., hyosc, colch., phosph., 
sepia, carb. veg., silex, zinc. 

Colica biliosa. Colocynth., cham., nuz v., ignat., 
pulsat., ipecac, bryon., verat., arsen., dulc, sulph. 

Colic a a constipatione. Nux v., bellad., opium, 
plumbum, verat., bryonia, staphys., platin., cinch., 
coccul, sulph., cole carb., silex, lycop., alum., zinc 

COLICA METASTATICA Vel HEMORRHOID ALIS. JSuX V., 

arsen., bellad., sulph., capsic, ferrum., thuya., pulsat., 
ignat., coloc, carb. veg., phosph. In this disease it 
may be sometimes adviseable to give aconite for the 
removal of the inflammatory action. 



COLICA. 103 

Colic a pictonum. Opium, platinum. 

Arsenicum — Is useful in the hemorrhoidal colic 
described under bellad., when the disease has con- 
tinued for some time, the debility has become great 
and the pain continues violent. 

Bellad. Colic with a roll-like swelling in the region 
of the transverse colon, with rumbling in the tumour; 
and tumefaction above one of the inguinal rings, re- 
ceding with crepitus on pressure. The pains pinch- 
ing and plucking. Such pains are characteristic of 
the cases suited to bellad. It is also useful in some 
of those colics which arise from a suppression of the 
catamenial or hemorrhoidal discharges, which are 
frequently accompanied by inflammatory symptoms 
and by increase of the pain from slight pressure on 
the abdomen. It is particularly suited to this kind of 
colic, when there is a spasmodic tension low in the 
abdomen, with a pressing sensation above the pubis 
and in the sacrum. 

Cocculus. Severe pressing pain in the right hy- 
pochondrium, increased by coughing or bending 
forwards. Tearing and burning in the bowels with 
pinching pain in the stomach, great flatulent disten- 
sion of the abdomen and constipation. 

Coloajnth — Is a most valuable remedy in colic. 
In an excruciating attack of this disease, when there 
was a remarkably great and chronic tympanitis 
abdominis, it quickly cured the disease; the tym- 
panitis gradually disappeared, and there were no 
more returns of the colic to which the patient had 
been previously for a long time subject. In bilious 
colics it is the chief remedy and is peculiarly ap- 
plicable where the pain is most severe in a small spot 
in llie umbilical region, and appears periodically 



104 COLICA. 

every ten or fifteen minutes or still less frequently ; 
every time beginning with a slight drawing from the 
sides towards the central point, which grows into a 
tearing, pinching, boring, &c, and is so severe that 
the patient cannot restrain himself, but cries out, bites 
whatever is nearest to him, and writhes like a worm 
with the agony, which also causes profuse perspiration. 

Chamomilla is adapted to many of the colics of 
infancy. To flatulent colic in which the flatus 
presses against different places in the abdomen, as if 
it would break through, and there is at the same time 
a general distension of the prsecordium and hypo- 
chondria, pressure to stool, borborygmi, and slight 
discharge of slimy mucus. Also to bilious colic 
supervening on violent anger. 

Cinchona. Flatulent colic low in the abdomen, 
the pain stretching and pressing, as if the flatus was 
vainly attempting to force a passage. 

Cocculus. In flatulent colic, where after the dis- 
charge of flatus without relief, more is constantly 
produced. 

Ignatia. Flatulent colics, especially nocturnal, in 
hysterical females. Also in bilious colics from sup- 
pressed rage. 

Nux vom. Flatulent colic in dyspeptics, where 
there is flatulent distension of stomach particularly 
after meals. Where the pain is low in the abdomen and 
there is cutting and sticking pain about the bladder, 
perinaeum, rectum and anus. Pain intolerable in 
walking, but disappearing whilst at rest. In colica 
hsemorrhoidalis with suppression of urine. It is a 
very important remedy in colic from constipations, and 
in those arising from obstructions of the bowels, from 
intussurceptio, volvulus, &c. 



CONSTIPATIO. 105 

Opium. In colica pictonum and in iliac passion. 

Plumbum . In colic from constipation or obstruction. 

Pulsatilla. In the flatulent colics of hysterical 
females, and in the colics incident to pregnant wo- 
men, which are accompanied by a frequent desire to 
urinate. 

Phosphor, removes flatulent colics which are seated 
low in the abdomen and are aggravated on lying 
down. 

Secale has proved beneficial in the menstrual colics 
of females, attended by paleness of the face ; coldness 
of the extremities; cold sweat; small, weak pulse, and 
tearing and cutting pain in the lower part of the 
abdomen. Also where there is fixed burning pain in 
the lumbar regions, and pains in the lower part of the 
abdomen. 

In males where the frequently recurring colic is 
combined with pain in the loins and thighs, and with 
eructation and vomiting. 

Veratrum. In flatulent colic with cardialgia, flatu- 
lent eructation, sickness at stomach, bitter taste, pinch- 
ing pain in the stomach and painful distension of the 
abdomen, and constipation. 

Zincum. Flatulent colic. Frequent rumbling in 
the abdomen below the umbilicus and in the left 
hypochondrium, at times accompanied by pressing 
pains. 



CONSTIPATIO. 

The medicine which is properly adapted to remove 
the morbid condition of the system, is the proper re- 
medy for the constipation or costiveness which is 



106 CONSTIPATIO. 

connected with and forms part of such morbid condi- 
tion. And it frequently happens, that there occurs, 
within a few hours after the administration of a 
proper homoeopathic remedy, a stool of more normal 
character than has appeared for a great length of 
time : and, afterwards, the bowels continue regularly 
and properly to discharge the fseces. A list, there- 
fore, which should contain all the remedies that have 
proved themselves useful in removing constipation or 
correcting costiveness, would embrace a large propor- 
tion of the materia medica. I am unable at present 
to prepare a list so perfected as to be of utility, 
which is the less to be regretted, because the col- 
lateral symptoms will be found more positive guides 
to the remedy peculiarly suited to the case, though 
this remedy must also be adapted to remove the con- 
stipation, a fact which can be readily ascertained by 
a reference to our materia medica. But since consti- 
pation and costiveness are frequently the original and 
predominant symptoms, I shall mention a few of the 
articles which have most frequently or strongly 
signalised their power in the removal of these affec- 
tions; at the same time advising, that it should be 
borne in remembrance, that however frequently these 
remedies may succeed under the circumstances just 
mentioned, or where they are suited to correct the 
whole disease, of which constipation and costiveness 
are a part, yet that they must inevitably fail, where 
they are not so adapted, as these affections, however 
troublesome, are but subordinate to the general morbid 
condition. 

Nux vomica has very frequently been found to re- 
move constipation, and is especially indicated where 
there is considerable gastric derangement. Where it 



CONTUSIO. CONVULSIO. 107 

has failed, veratrum has sometimes succeeded. So 
has bryonia in alternation with nux. 

Opium has removed constipation in several cases. 

Acetas.plumbi has cured very obstinate constipation. 

Lachesis has been recommended. 

Calcis sulph. and sulph, are often useful. 



CONTUSIO. 

In contusion, wrenching, straining and all mecha- 
nical injuries, arnica montana 30. Hahnemann says 
that in great and severe contusions the cure will be 
hastened, when, besides the internal use of a small 
dose, the affected part is kept moistened for the first 
twenty-four hours with the following mixture. Dilute 
alcohol and water, each half an ounce, and five to ten 
drops of the first dilution of arnica. 

If some time has elapsed, and febrile symptoms 
arise, aconite should precede the arnic. 

Bryonia has sometimes been of service. In a case 
of injury of the knee from a fall, when the tumefaction 
and pain were very great, bryonia 30, given twelve 
hours after the accident, caused, after slight aggrava- 
tion, a rapid improvement. 



CONVULSIO. CONVULSIONS. 

Under this head are included epileptic, hysteric, 
and hydrocephalic convulsions, as also those of infancy 
arising from the irritation of difficult dentition and 
other causes. 

Arnica proved useful in the case of a girl set. 10 



108 CONVTJLSIO. 

ann. who when two years of age had fallen from a 
considerable height, and was taken up for dead. The 
apparent injury of the head was trifling, but violent 
convulsions speedily took place and were almost 
constant for four weeks. Afterwards the paroxysms 
recurred less frequently, but sometimes twice a day 
for several days in succession, and sometimes did not 
appear for several weeks. The character of the con- 
vulsions remained the same as when they first oc- 
curred. They commenced with violent palpitation 
of the heart, then sickness; the body and limbs on the 
left side were drawn crooked, and saliva flowed from 
her mouth. " She then had convulsions for a short 
time inwardly, and with these felt a violent itching 
in the nose, which she rubbed with her right hand." 
During the paroxysm she retained perfect conscious- 
ness. Arnica 5|30 was given every sixth day until 
five doses were taken. At first the paroxysms were 
more severe, but afterwards gradually diminished in 
force, and for a short time before the publication of 
the case had entirely disappeared. 

Arsen. has been successfully employed in epilepsy. 

Also in convulsions occurring during dentition, 
when in the intervals there is constant thirst with 
burning heat of the whole body, hasty movements 
and an anxious expression of countenance, and where 
the paroxysm is of the following form: — First a 
throwing out of the arms, then complete loss of con- 
sciousness, the patient lying as if dead, pale but 
warm, the fingers and thumb closed ; the arms slowly 
raised and then slowly sinking; after some minutes, 
motions of the mouth as if the lower jaw was moved 
about; no appearance of respiration; after a duration 
of fifteen minutes a conclusion of the paroxysm with 



CONVULSIO. 109 

a jerk of the whole body like a single start forwards 
with the hands and feet, and a sudden return of con- 
sciousness, but with great debility. 

Aurum has been recommended for hysterical con- 
vulsions. 

Belladonna. Hysteria. A maiden lady set. 32 ann. 
had suffered under a convulsive disorder for six years, 
and during the greater part of this time had been 
treated by many physicians without success, and her 
last physician, after various efforts to remove the 
disease, had declared it too inveterate and dependent 
on organic injuries to be cured. Among the remedial 
means used were opium, hyosciamus, saffron, cicuta, 
valerian, musk, prussic acid, flowers of zinc, sugar of 
lead, ammoniuretted copper, mercurials, cinchona, 
the mineral acids, electricity, blisters, cups, issues, 
&c. But for the last three months she had only em- 
ployed aperient pills, which merely opened her bowels. 
The paroxysms, of which she sometimes had six or 
eight in a day, and which were very seldom absent 
for two or three days, were preceded by preternatural 
vivacity or unconquerable depression and constant 
fretting. To these premonitions, a violent chill, tor- 
menting anxiety and fear of approaching danger suc- 
ceeded. These were followed by strong and audible 
palpitation of the heart, with -burning and sticking 
pain in the heart, and aching pain in the whole 
breast and throat with a sensation as if she would 
suffocate. Then, most commonly, loss of conscious- 
ness, for a short time, took place along with a violent 
tetanic convulsion by which the head was bent back 
upon the neck, and the arms were twisted. When 
the convulsions ceased, blue spots of the size of a 
dollar, and resembling ecchymoses, appeared on the 



110 CONVULSIO. 

neck, breast and arms, but disappeared again after a 
few hours. The menses only appeared every eight 
or twelve weeks, and then continued but for one day, 
were sparing, coagulated and black; and when they 
occurred the convulsions were more frequent and 
violent. The bowels were costive. Mental emotions 
of all kinds operated injuriously upon the patient. 
The treatment was commenced with hyosc. gtt. i. 9, 
which was followed by a slight improvement, but on 
the fifth day there was a convulsion, and on the 
seventh a still more severe one. Bellad. 1|30 was 
then given, and the general condition of the patient 
gradually improved. On the tenth day there was 
a slight convulsion, and bellad. 1|30 was repeated, 
after which there was no convulsion for thirty-eight 
days. In this interval pulsat. 5 had been adminis- 
tered, and was followed in eight days by copious 
menstruation for two days, unaccompanied by any 
serious disturbance. Bellad. 24 was then given, 
after which she had no convulsion for fifty days, when 
after great mental emotion a slight one occurred. 
Another dose of bellad. was then taken, after which 
at the end of four months there had been no return of 
the convulsions ; and the patient, whose appearance 
had been wretched and meagre, had become "a 
picture of health . " 

Epilepsia preceded by a sensation like the crawl- 
ing of ants and a numbness about the shoulder joint. 
In the paroxysm, unconsciousness; face bloated and 
bluish red; eyes and mouth moved convulsively; 
red foam before the mouth ; the head and upper part 
of the body drawn forcibly back; stiffness of the 
whole body, and clinching of the thumbs; violent 



CONVULSIO. Ill 

expiration; the paroxysm succeeded by a sensation of 
load on the breast. 

Convulsions, with clinching of the thumbs, in a 
child aged six weeks, who had cried day and night 
from the time of its birth. In the paroxysms the face 
was variously distorted. It had an appearance of 
laughing in its sleep, from which it often awoke with 
a piercing cry. Its bowels were alternately costive 
and loose. It had been previously unsuccessfully 
treated with calomel and opium in alloeopathic doses. 
After bellad. 1|30 the child became more quiet, and 
the convulsions ceased. On the eighth day there 
was a slight attack, when stramonium 1|30 was given, 
and effected a perfect cure. The parents of this 
infant had lost their eldest child at the same age by 
convulsions, a circumstance which recalls to my re- 
collection a case which occurred in my own practice. 

The parents of my patient had lost their eldest 
child at the age of live months by convulsions. It 
had appeared to enjoy tolerably good health, except 
that its bowels were rather costive. "When it was of 
the age just mentioned, the mother was awakened a 
little after midnight by a clicking sound proceeding 
from the cradle in which the child lay. Upon ex- 
amination, the child was found to be in convulsions. 
A physician was immediately called who employed 
all the means usually resorted to in such cases, and 
on the next day was met in consultation by one of 
the most eminent of our physicians, but notwith- 
standing all their endeavours to rescue the patient, 
it died on the third day. The fifth child, who more 
closely resembled the eldest than either of the others, 
was attacked, when within three days of the same 
age as the eldest was at the time of her attack, in 



112 CONVULSIO. 

the same manner, at the same hour of the night, and 
the mother was awakened by the same sound. I was 
called in and pursued the homoeopathic treatment, 
and gave hyosciamus, belladonna and other remedies. 
The convulsions, which recurred very frequently at 
first, appeared at longer and longer intervals, and at 
the end of eighteen hours the last paroxysm had 
taken place. The child never had any more con- 
vulsions till seven months afterwards, during the 
cutting of the first molar teeth, when belladonna 
showed itself remarkably useful, and the convulsions 
disappeared. The great difficulty in deciding between 
the merits of different systems or modes of treatment, 
consists in our inability to affirm with perfect certainty 
what would have been the result of the case under a 
different treatment. Could we, when our treatment 
has been unsuccessful, place our patients in the same 
situation in which we found them, and then treat 
them in another manner, this difficulty would cease. 
The cases just narrated, appear to me so similar that 
the second almost resembles a restoration of the first 
case to the same condition in which the physician 
found it. There were, however, two circumstances 
of difference in the two cases which should be men- 
tioned ; the one that the sex of the children was dif- 
ferent; the eldest being a female, and the youngest 
a male ; a difference certainly not much in favour of 
the latter. The other circumstance was the greater 
attention which had been paid to obviating costive- 
ness in the younger child, which, as it was insufficient 
to prevent the occurrence of the convulsions, can 
scarcely be viewed as having much influence in pro- 
ducing a favourable issue. It is for the purpose of 
instituting this comparison that I have introduced 



CONVULSIO. 113 

these cases, and not for that of homoeopathic instruc- 
tion. For I acknowledge that it was not the best 
treatment which made such a number of remedies 
necessary in so short a time, and that had I selected 
the appropriate remedy at first, no other might have 
been requisite. But I must plead in extenuation, the 
necessity of prompt measures in so dangerous a case, 
in order to prevent incurable organic lesions ; and that 
under such circumstances it is difficult to select the 
best of the known remedies. J. 

Calcis carh. Hahnemann speaks of this remedy 
as having proved very useful in epilepsy, but cautions 
against any expectation of curing the disease with 
this remedy alone, when it is not adapted to the cure 
of all the accompanying diseases of the case. 

Chamomilla. A child aged nine months had been 
subject for three months to convulsions of the follow- 
ing form. Stretching itself out rigidly, with incurva- 
tion of the back; twitching of the extremities; the 
thumb clinched; rattling and suffocative respiration; 
inspiration rapid; face red and tumid; twitching of 
the eyes and muscles of the face ; foam at the mouth ; 
the tongue convulsively moved from one side of the 
mouth to the other; the mouth at times firmly closed; 
sweat of the head; paroxysms ending with sleep. 
Cham. gtt. i. 12 was given, and on the succeeding 
night there was a paroxysm, but lighter, and the last. 
The child became perfectly healthy. 

Convulsions in a child aged eighteen months, 
marked by sudden relaxation ; paleness of the face ; 
distortion of the eyes ; closure of the thumbs ; slight 
gritting of the teeth ; twitching of the fingers, and 
rattling breathing, were cured with chamomil. 

Cina. is useful in the convulsions of infants when 
8 



114 CONVULSIO. 

they occur, after a dry spasmodic cough has continued 
for a long time, and the spasmodic affection is violent 
in the chest, and attended with twitching of the limbs 
and involuntary urination. 

Cuprum. Dr. Kretzschmar, in the case of a woman, 
who had suffered for ten years from convulsions, 
kept her for a long time free from them by the admin- 
istration once a week of cuprum 1|30. But at length 
the convulsions again returned; and this remedy 
proving no longer capable of subduing them, he 
gave tr. acris 1|30, at the same intervals, and again 
caused a cessation of their attacks. Dr. Gross after- 
wards tried this practice, and most obstinate convul- 
sions of very different kinds were cured by the 
cuprum, exhibited in this manner, and returns of the 
disease happened only in two cases. 

Hyosciamus. Epilepsia. An otherwise healthy 
boy of twelve years of age, had suffered for several 
years from epileptic convulsions which had been in- 
duced in early childhood by a sudden fright. The 
paroxysms occurred twice a day, and were of the 
following character. Without any premonition of 
their approach, he fell with a shriek to the earth, jerk- 
ed his extremities spasmodically, and firmly clinched 
his fingers and thumb; his face was bluish and 
tumid; his eyes prominent and spasmodically moved; 
his urine was discharged involuntarily ; he foamed at 
the mouth; his teeth were pressed together; and 
his respiration was slow and rattling. The paroxysms 
lasted for fifteen minutes and ended in a heavy, 
snoring sleep. Afterwards there was debility and 
great loss of memory. Hyos. gtt. 1.9 was given 
in the afternoon after the conclusion of the second 
paroxysm. A third occurred that evening more 



CONVULSIO. 115 

severe than any of the preceding. It proved to be 
the last; for three years afterwards there had been no 
recurrence of the convulsions. 

The hyosciamus is also a proper remedy in the 
convulsions of infancy when symptoms similar to 
those of the above described case are present. 

Ignatia. Convulsions in a girl set. 12 ann. which 
had continued from her sixth year, when they had 
been induced by partial suffocation, in consequence 
of the burning of the house in which she resided, and 
from w T hich she was rescued with great difficulty. 
The convulsions were preceded by great anxiety and 
sense of suffocation, and the paroxysms which oc- 
curred at nine o'clock every morning were marked by 
perfect unconsciousness and violent beating of the 
breast with the right hand, the fingers and thumb of 
which were firmly clinched, and ended with powerful 
extension of the body and a deep sigh. Ignatia 5|12, 
given at six o'clock in the morning, was followed by 
a convulsion at eight o'clock more violent and of 
longer duration than any she had previously experi- 
enced. The two succeeding days no convulsion 
appeared. On the third day there were some appear- 
ances of a disposition to a return of the complaint, 
but the convulsions did not occur. Ignatia 1|12 was 
given, and there was no relapse for four weeks, when 
after the reception of distressing intelligence she had 
a slight attack. Another dose of this medicine then 
given, effected a perfect and permanent removal of 
the convulsions. 

Convulsions from fright, in a female. Face alter- 
nately red and pale; swelling in the right side like a 
child's head; involuntary urination. Three doses 
were given. 

8* 



116 



CONVULSIO. 



Hysteria in a female set. 24 ann. when the convul- 
sions arose from agitation of mind, from sudden 
disastrous intelligence; colour alternately red and 
pale; mouth full of saliva. Ignat. 12 restored her 
perfectly. 

Epilepsy in two boys, one six, the other four years 
old. In both, face red; pulse full, hard, and one 
hundred in the minute; eyes staring; convulsions of 
the extremities, with the thumbs of the younger closed, 
the thumbs of the elder not; foam at the mouth; 
on returning consciousness, thirst. In both a single 
dose of ignatia removed the complaint permanently. 

Convulsions in a girl set. 11 ann. Beginning 
with retching, suffocative attacks; convulsive twitch- 
ing of the arms, (with perfect consciousness.) Soon 
afterwards the middle finger of the right hand began 
to twitch, she stretched it out stiff; her eyes staring; 
her countenance inexpressive; she seized the finger 
with the other hand and bent it back as if she would 
break it off. The twitching then seized the hand and 
next the arm, then the other arm and both lower ex- 
tremities, which she jerked about violently. The 
thumbs were not clinched, but the countenance was 
distorted. Next, the breast and abdomen were affect- 
ed, and retching and eructation took place. The 
paroxysms lasted a quarter of an hour; afterwards 
she lay senseless and speechless. In two days she 
had four of them. After cham. had been given with 
temporary abatement, ignat. effected a perfect re- 
covery. 

This remedy is peculiarly well adapted to hysteric 
convulsions. 

It is also highly important in the convulsions of 
infancy, which occur about the period of dentition. 



CONVULSIO. 117 

When these appear suited for, but do not give way 
entirely to chamomilla, ignatia will sometimes be 
found to succeed. If this leaves any remnant of the 
affection, it may sometimes be advantageously follow- 
ed by bellad. 

Ipecac, has proved useful in hysterical convulsions 
with incurvation of the back, distortion of the coun- 
tenance and sighing respiration. 

In a case of convulsions attending anasarca, after 
scarlatina miliaris, where the patient laid uncon- 
scious ; the face was pale and tumid ; the eyes fre- 
quently opened and closed ; the paroxysms marked by 
violent twitching of the muscles of the face, and jerk- 
ing of the extremities, with frequent elevation of the 
upper part of the body, and succeeded by vomiting. 

In the convulsions of a child, when there was first 
a single shriek; then rattling respiration and after- 
wards rigid extension. 

Lachesis. Epilepsia. In a case where the premo- 
nitions were coldness of the feet or palpitation of the 
heart; flatulent distension of the abdomen ; eructation; 
aching and heaviness of the head, and paleness of the 
face. In the paroxysm, a loud cry and falling sense- 
less to the ground; eyes turned upwards; hands 
closed; limbs jerking up and down; foam before the 
mouth, and deep sleep : lachesis effected a cure. 

Epilepsia in a man 83t. 28 ami. Paroxysm every 
four weeks. The premonitions of attack observed 
by those about him, were confusion in his actions 
and thoughtlessness. In the paroxysm, striking back 
the head; foam before the mouth; clinched thumbs; 
striking with hands and feet. In the interval, be- 
numbing vertigo, constant headache, heat in the fore- 
head; trembling in the limbs, most on the left side; 



118 CONVULSIO. 

curious dreams. After lach. 3|30 the convulsions and 
the affections of the intervals disappeared : at the end 
of nine months there had been no return of the disease. 

Moschus. Convulsions preceded by extraordinary 
weakness and vertigo. The patient laid motionless 
with the arms firmly pressed on the body, and then 
after a few minutes there was distortion of the eyes, 
with slight twitching of the mouth and nose, the head 
being drawn back. After a deep inspiration, cessa- 
tion of respiration for half a minute to two minutes, 
followed by rapid and laboured respiration and extra- 
ordinary beating of the pulse. Then clonic spasms 
of the abdominal muscles, which always pursued one 
direction, either from above downwards or vice versa. 
Finally there were similar convulsive movements in 
the extremities, beginning in the fingers and toes and 
afterwards affecting the parts nearer the body. The 
paroxysms lasted for five or six minutes, and were 
attended by unconsciousness and insensibility. Two 
doses of moschus effected a cure. 

Nux vomica has proved useful in convulsions at- 
tended by tonic contractions of the muscles, resembling 
tetanus. 

It is useful in the convulsions of drunkards ; and 
also in those of infants attended by constant crying 
in the intervals and by constipation. 

It is suited to epilepsies which arise from frequent 
intoxication, as also when the disease arises from 
crudities in or acidity of the digestive apparatus, or 
from worms. 

Opium. A woman set. 25 ann. had attacks in the 
mornings during which she laid motionless, almost 
breathless, unconscious and insensible; and had, in 
the afternoons, hysteric convulsions. A dose of opium 



CONVULSIO. 119 

removed the morning attack, and a dose of stannum 
the afternoon convulsion. 

In convulsions alternating with spasmodic breath- 
ing, with a general corpse-like coldness. 

In the convulsions of infants, when the attack oc- 
curs at night during sleep, and there is stertorous 
respiration with open mouth. 

Epilepsia where the patient laid relaxed, almost 
breathless, unconscious and insensible. 

Silex has proved a valuable remedy in epilepsies. 

Spigelia has removed convulsions attending disease 
of the heart. 

Stannum is useful in hysteric convulsions ; as also 
in the convulsions of infants which are renewed at 
the cutting of every new tooth, and when every new 
attack is more severe than the preceding. 

Stramonium has proved useful in convulsions. 

Sulphur. Epilepsia in a girl set. 15 ann. Sleepi- 
ness, then stretching and stiffness of the limbs; after 
two minutes closing of the eyes and biting of the teeth 
together; clinching of the thumb; jerking about over 
the floor till she came against the wall, &c. After 
the paroxysm weeping of the eyes. The extremities 
so rigidly extended that they could not be bent. The 
disease had continued for four months, and the pa- 
roxysms which endured for ten or fifteen minutes 
had become so frequent that she had six hundred 
and thirty in twenty-one days. There were no con- 
vulsions at night Sulphur 2|30 was followed by a 
single paroxysm, after which the disease disappeared. 

Tr. acris has been useful in different forms of con- 
vulsions; see cuprum. 

In a case of hydrocephalic convulsions where 
belladonna and nux vom. were administered without 



120 CORYZA. 

success; tr. acris was followed by an aggravation 
which continued for several hours; then by a sleep of 
two hours, on awaking from which there was a perfect 
restoration of consciousness, and in three days a 
complete recovery. 

Veratrum. Hysteria, where the paroxysms were 
preceded by distress, depression and anxiety, and in 
which, with syncope and general relaxation, there 
was spasmodic trembling of the eyelids; the eyes 
turned upwards; the jaws firmly closed and the limbs 
flexible. 

In addition to the above remedies, the following 
are also deserving of attention in the treatment of 
convulsions; namely, carbo veg., cocculus, graphite, 
lycopod., magnes. carb., magnes. mur., sepia, silex, 
soda, sodce mur. 



CORYZA. 

Cold in the head. 

This disease, although generally described as a 
superabundant secretion of mucus in the nostrils, is 
sometimes, and especially in its earlier stages, accom- 
panied by a sensation of dryness or obstruction in the 
nose. The former of these symptoms may arise from 
a suppression of the secretory process ; and the latter 
may be produced by the inflammation and turgescence 
of the lining membrane, or from accumulations of 
tough and viscid mucus. 

In the treatment of coryza, nux v. is very useful in 
the early stages when it enters with an inflammatory 
character, the nose is dry and there is but little secre- 



CORYZA. 121 

tion of mucus. Pulsatilla is serviceable in those 
forms of the disease where but little inconvenience is 
experienced by the patient in the open air, but where 
upon entering a warm room and in the evenings he 
is tormented with a troublesome obstruction of the 
nostrils. It is also useful when, after the violence of 
the inflammatory action has abated, there is a constant 
discharge of mucus from the nostrils with soreness of 
the margins of the nares. Sambucus has rapidly 
cured coryza in infants where the nostrils were com- 
pletely filled with thick and tough mucus, and there 
was a consequent difficulty of sucking at the breast. 
Euphrasia and ignatia have also proved beneficial, 
and the latter is peculiarly adapted to coryzas attend- 
ed by dull pain in the forehead and occurring in 
hysterical females. The lobelia has frequently cured 
this disease very speedily when it has commenced 
with a copious fluid discharge from the nostrils. 

Coryza sometimes assumes a chronic form, and in 
the worst cases can scarcely be distinguished from 
ozena, which consists in an ulcerated condition of the 
lining membrane of the nostrils. 

Arsen. In the case of a woman set. 42 ann. who 
had been for a long time afflicted with constant burn- 
ing in the nose; alternating obstruction and discharge 
of fluid mucus which was of an acrimonious quality, 
and caused a scurfy ulceration of the skin below the 
nares. Purging, medicinal teas, &c. had been long 
employed without relief. Two doses of arsen. 30 
effected a radical cure. 

Ipecac. In the case of a man set. 25 ann. affected 
with constant obstruction of the nares and loss of 
smell, and with dry spasmodic cough. Disease of 
two months' duration. One twentieth of a grain of 



122 DELIRIUM TREMENS. 

ipecac, thrice repeated at intervals of twenty-four 
hours effected a perfect cure. 

Pulsat. In a female set. 18 ann. Copious discharge 
of an offensive puroloid matter of a yellowish green 
colour from the nose, with swelling, but without 
perceptible ulceration of this part. Dyspepsia. Con- 
fusion and heaviness of the head, which was worst in 
a warm room and in the evenings. Deficient menses, 
which were of too pale a colour and occurred with 
too long intervals. Pulsat. gr. i. 9. effected a perfect 
cure. 

Sulphur. In two cases in scrofulous children, 
sulphur cured a serous coryza with ulceration of the 
skin beneath the anterior nares. 



DELIRIUM TREMENS. 

Mania a potu — Horrors. 

The popular appellation of "the horrors" is re- 
markably well applied to this disease, in which the 
hallucinations are almost always of a disagreeable and 
frequently of a frightful character. The patient often 
imagines that the walls of his room are falling upon 
him, and he will stand in a painful position for a great 
length of time using all his strength to prop them up : 
or he sees the room filled with vermin and reptiles, 
which swarm over his person : or he sees thousands 
of imps watching to do him mischief: or he hears 
voices from every direction, reproaching him and 
calling him by every bad epithet : or unseen persons 
are seeking to murder him or to take him to prison. 
Even when the hallucinations appear to the attendants 
to be of an amusing and ludicrous character, they are 



DELIRIUM TREMENS. 123 

far from being so to the patient. He may see armies 
of pigmies march about the floor and scale the 
furniture, he may describe their uniforms and the 
pompous airs of their officers, he may distinguish the 
blazonry of their banners, and point out the evolutions 
of the Lilliputian host; but he does not do these 
things with the feelings of a merely curious or amused 
spectator. It is against him that this visionary array 
is formed ; or the slightest offence on his part may 
direct its vengeance towards him, and the warriors, 
though diminutive, can torment with a thousand new 
means of annoyance and injure him with weapons 
which are novel in warfare. He either seeks to flee 
away from the danger, or to deprecate the resentment 
of the generals by the most conciliatory expressions. 
He is constantly bathed in perspiration, and a tremu- 
lous motion of the hands is almost always present, 
and there is often a violent trembling of the whole 
frame. He is constantly watchful and constantly 
engaged, according to the nature of his hallucina- 
tions, which sometimes change in rapid succession, 
and at others continue of the same character for hours 
together. Though constantly in fear, he is not always 
devoid of courage, and will sometimes attack his 
imaginary foes. The disease continues either until 
the patient expires worn out by continual agitation, 
exertion and watchfulness, or until a long continued 
sleep, (generally induced by medical means,) occurs 
as the first symptom of the abatement of the disease, 
and is followed by an almost perfect restoration of 
health. In some of the fatal cases a coma occurs 
shortly before death. 

The hallucinations which have just been described, 
are connected with complete deceptions of some of 



124 DELIRIUM TREMENS. 

the senses; and in many instances one sense will 
correct the mistakes of another. Thus I have fre- 
quently seen a patient stoop to pick up money, which 
he saw lying scattered over the floor, and after 
endeavouring for some time to grasp a piece with his 
fingers, relinquish his object as impossible of attain- 
ment. One poor fellow remarked that it was "the 
funniest money he ever saw in his life, for his fingers 
would meet through it." In another case I saw the 
patient firmly convinced by the sense of feeling that 
he had money in his hand, until on looking for it there 
he could not see it. 

Although delirium tremens is a consequence of the 
excessive indulgence in alcoholic drinks, yet it is not 
a direct effect of these. It arises, on the contrary, 
from their sudden discontinuance, and appears to be 
a reaction of the system against their primary opera- 
tion. But it should be remembered that this primary 
operation is that which occurs from excessive quan- 
tities of these drinks, and that we only find this 
reaction after a violent debauch, or in persons who 
have for a length of time drank to excess, and who 
were in consequence rather in a state of constant 
stupefaction than of exhilaration. 

The observation of these facts will enable us to 
perceive that the curative action of moderate quantities 
of brandy or other alcoholic, drinks, in mania a potu, 
is perfectly homoeopathic. For the primary effects 
of these quantities being of a stimulative, while the re- 
actions against these effects are of a sedative character; 
the operations produced by the brandy may supplant 
the existing morbid actions, and the reactions of the 
system may effect a cure. But as very minute and 
excessively large doses of medicinal substances have 



DELIRIUM TREMENS. 125 

been proved to produce very similar operations, dif- 
fering oftentimes only in danger and intensity, and as 
in this case only an antipathic operation can be ex- 
pected from either of the extremes, a difficulty occurs 
in determining on the proper dose. What this may 
be I cannot pretend to decide with certainty. I have 
seen a sound sleep and perfect recovery follow speedily 
after the administration of a little more than half a 
gill of brandy, but I am inclined to the opinion that a 
much smaller dose would often prove more satisfactory, 
as the stimulative operation of the remedy would be 
of shorter duration. 

Before dismissing the subject of the treatment of 
mania a potu with brandy, it may be proper to remark, 
that some physicians object to it on the ground that 
it favours the maintenance or operates as an encourage- 
ment of the habit of indulging in the use of intoxica- 
ting drinks; and they therefore resort to opium or 
other medicines to effect their object. This is a 
practice which I have pursued myself until very 
recently ; but as almost every patient I thus cured, 
speedily resumed his bad habits, I cannot see the 
utility of pursuing this course on these grounds, and 
if the brandy effects a more speedy cure, it is certainly 
to be preferred. 

As regards the operation of infinitesimal doses in 
mania a potu I cannot speak very highly from my 
own experience. In all the instances in which I have 
tried them, I have not found so marked a beneficial 
operation as to induce me to refrain from a treatment 
under which, notwithstanding I have had many cases 
of the disease to treat, I have never yet lost a patient. 

It is not on account of a want of effect from the 
infinitesimal doses that I have thus far been dis- 



126 DELIRIUM TREMENS. 

satisfied with their operation in delirium tremens; on 
the contrary, I have seen very decided effects: for 
instance, I have seen from opium 3 a powerful anti- 
pathic operation closely resembling the effects which 
I have seen from twenty grains of opium, though of 
shorter duration. But it has been on account of a 
want of satisfactory operation; and I suspect that 
the same disappointment has been experienced by 
others, as Hartmann recommends the employment of 
moderate quantities of brandy along with the infini- 
tesimal doses. It may properly be urged that the 
medicines exhibited were not the adapted homoeo- 
pathic ones; and this I freely admit to be true. At 
the same time I doubt whether any one of the re- 
medies which have been recommended in mania a 
potu is adapted to the peculiar condition which exists 
in this disease. They may be partially suited to it, 
and in some instances successful, but the recorded 
cases are not marked by such accuracy of detail in 
relation to the progress of the cure as to exhibit the 
curative operations of the remedies in a very striking 
light. 

The following brief statement of most of the re- 
corded cases exhibits to view the remedies which 
have claimed the chief confidence of homoeopathic 
physicians. 

In a fully developed case, nux v. afforded no relief. 
Opium 3|6, given in the morning, produced in the 
afternoon sleepiness; and at night the patient slept 
from ten o'clock till five o'clock the next morning, 
when he awakened well. 

In a man who intoxicated himself more frequently 
with beer than brandy, nux v. in repeated doses 
effected a cure. 



DIARRHCEA. 127 

In a case where the patient imagined one half of 
his body to be cut off, two doses of stramon. 30 
effected a cure. 

One case was cured by bellad. gtt. i. 30 in water, 
every two hours. 

A case was cured by calcis carb. when nux v. had 
proved inefficacious. 

Hartmann recommends nux v. in the early stages, 
in which he also thinks tr. coffea crud. is often an 
indispensable remedy. This he gives in the dose of 
gtt. i. 2. After the disease is fully developed, opium. 

Hyosciamus has also been recommended. 



DIARRHOEA. 

Acid. nit. completed the cure of a nightly diarrhoea 
with offensive stools containing undigested matters, 
in which much improvement had been already effect- 
ed by sulphur. 

Acid, phosph. has proved useful in chronic diarrhoea, 
as also in cholera diarrhoea. 

Antim. crud. In serous or watery diarrhoeas. And 
where there is alternating diarrhoea and costiveness 
in old persons. 

Arsenicum. In serous or watery diarrhoeas with 
speedy exhaustion and violent pain in the bowels. 
It is also the remedy entitled to the most confidence 
in the diarrhoeas of infants suffering under atrophy. 

Bryonia is useful in diarrhoeas where there is little 
pain, but much debility; and the stools containing 
undigested aliment are voided shortly after the patient 
has eaten his meals. 

Calcis acet. In the diarrhoeas of consumptive 



128 DIARRHOEA. 

persons, and also in those of scrofulous children. 
And in diarrhoeas with acid discharges. 

Calais carb. In a case of diarrhoea, attended by 
violent pain in the head and back, with severe cutting 
pain and sensation of coldness in the abdomen; this 
remedy effected a perfect cure. 

Chamomilla is applicable when watery and slimy 
stools are preceded by cutting pains, below the um- 
bilicus, which disappear after the evacuations. Also 
in the diarrhoeas of infants during dentition, when 
the stools are green and watery, and unattended by 
pain. Also in the diarrhoeas of infants, with acid 
discharges. 

Cinchona is serviceable in the chronic diarrhoeas 
of aged persons. Also in diarrhoeas in which the 
aliment passes off undigested immediately after meals 
or at night. Also in diarrhoeas where there is great 
emaciation, debility, and night sweats. In these 
cases the cinchona may sometimes be employed ad- 
vantageously in alternation with ferrum. 

Colocynth. has proved useful in violent and debili- 
tating mucous diarrhoea. 

Cuprum is an important remedy in the diarrhoea 
which attends Asiatic cholera. 

Dulcamara is recommended for those watery diar- 
rhoeas which occur in the summer season and mostly 
attack in the night. Also in diarrhoea from taking 
cold. 

Case in a woman set. 20 ann. from taking cold. 
The disease was of several months' duration, and had 
resisted the ordinary treatment. It was worst at 
night, when the stools were extremely frequent and 
accompanied by a violent cutting pain about the um- 
bilicus; nausea, vomiting, cold sweats and smarting 



DIARRHCEA. 129 

at the anus as if from the application of salt. The 
faeces consisted of a greenish yellow matter. Dul- 
camara in the dose of the thousandth part of a drop 
of the juice effected a perfect cure in less than twenty- 
four hours. 

Case. In a man est. 31 arm. ; cause unknown. Dis- 
ease of three years' duration. The diarrhoea worse 
at night, and attended with severe cutting pain about 
the umbilicus; great and constant thirst; smarting at 
the anus as from Cayenne pepper ; and a considerable 
prolapsus of the rectum. The stools consisted in a 
great part of blood. Succus dulcam. gtt. i. was given, 
and by the fourth day the disease had entirely disap- 
peared. The man afterwards continued well. 

Hyosciamus. In diarrhoea, unaccompanied by pain, 
where the discharges are involuntary, and the patient 
is almost unconscious of their passage. 

Ferrum met In watery and mucous diarrhoea 
which are unattended by pain. Also in diarrhoea 
with great emaciation, debility and copious night 
sweats. 

Jalappa cured a diarrhoea with bloody stools and 
severe pain in the bowels, in an infant. 

Lycopodium has been recommended in diarrhoea 
occurring during pregnancy, when there is a sallow 
tint of the skin. 

Magnesia carl. In the diarrhoeas of infants at- 
tended by an acid odour of the stools. Also in 
diarrhoea occurring in infants where the stools are 
frequent, green, watery, and accompanied with dis- 
charges of flatus, and much crying. 

Mercur. In serous diarrhoea with acrimonious 
discharges and consequent burning and itching at 
the anus. In a diarrhoea of three years' duration in 
9 



130 DIARRH(EA. 

a child of four years of age, with passage of undigested 
aliment with the faeces, and extensive prolapsus ani; 
this remedy effected very great improvement. J. 

Nux vom. In watery diarrhoea with cutting and 
drawing pains passing from the lower part of the back 
into the thighs. 

Oleander, In diarrhoea attended by the discharge 
of undigested aliment. 

Petroleum. In a case of chronic diarrhoea of four 
years' duration, in a man set. 29 ann. He had from 
six to ten stools in twenty-four hours. The fasces 
were watery and yellow, and caused a sensation of 
burning at the anus. These were preceded by severe 
cutting pains in the abdomen, which were abated 
by bending forward; then a severe pressing to stool 
occurred. The pain ceased after the stools, but 
great debility ensued. The appetite was poor, and 
animal food disagreeable to the patient. There was 
frequent nausea; and sometimes vomiting of a green 
and bitter fluid occurred. After eating, the patient 
felt a load at the stomach. Petroleum 18 was given, 
and in eleven days the stools had become perfectly 
natural. 

Phosphorus has proved itself to be a valuable remedy 
in the diarrhoea which accompanies Asiatic cholera. 
It has also cured chronic diarrhoea, attended by the 
discharge of undigested aliment with the fasces. 

Pulsatilla. In watery or mucous diarrhoea, espe- 
cially when there is a constant variation in colour of 
the discharges. 

Rheum. In watery diarrhoea with acidity of the 
discharges. 

Rhus. In diarrhoea attacking after midnight, the 

CD CD ' 

stools preceded but not followed by pain in the 



DIARRHCEA. 131 

abdomen. The faeces somewhat consistent. Rhus is 
also useful in diarrhoea with green bilious discharges, 
and worse at night. 

Secafc in repeated doses was found by Dr. Rummel 
of o-reat use in the diarrhoea of Asiatic cholera, when 
there was no appearance of bile in the discharges. 
1 have repeatedly employed this remedy in the diar- 
rhoeas of children, when the faeces were watery and 
whitish, and have found very great advantage from 
its use. I employ it in doses of 4 or 5|3, or in doses 
of about one twentieth of a grain of the first tritura- 
tion, given every two hours until three doses are 
taken. J. 

Sulphur. In nocturnal diarrhoea preceded by cut- 
ting and twisting pain in the bowels; the stools oc- 
curring frequently, and the faeces being of pappy 
consistence and slimy. Also, in diarrhoea with thin, 
white, slimy and most offensive stools, and worse at 
night. Also, in the watery diarrhoeas of infants 
during dentition. Also, in nocturnal diarrhoea with 
violent tenesmus after the stools. 

Case — of several weeks' duration, in a man set. 55 
ann. Attacks commencing a couple of hours before 
day-break with severe pain in the bowels. After a 
considerable time a discharge of very offensive flatus 
took place. About day-break the patient had three 
or four stools in quick succession. The discharges 
continued to take place through the forenoon, but did 
not occur in the afternoon or early part of the night. 
The faeces were very offensive, of a brown colour, 
watery, but causing a sensation of burning during 
their passage, and so acrimonious as to occasion such 
an excoriation of the parts about the anus as caused 
him great pain in sitting. Sulphur 1130, given in the 

9* 



132 DYSENTERIA. 

latter part of the afternoon, was followed by a diar- 
rhoeal stool before bed time; but the attack the next 
morning was much less severe; and afterwards, the 
recovery though gradual was steady, and in the 
course of a few days the stools had regained their 
normal character. J. 

Veratrum is a most important remedy in the diar- 
rhoea of Asiatic cholera. It is also useful in some 
forms of nocturnal diarrhoea. 



DYSENTERIA. DYSENTERY. 

Flux. Bloody flux. 

It has been recommended to commence the treat- 
ment of dysentery, when it is accompanied by con- 
siderable inflammatory fever, with the administration 
of one or two doses of aconit. Whether this pre- 
caution is either necessary or useful, is somewhat 
doubtful, for it is certain that many of the worst forms 
of dysentery have been speedily cured, by the ap- 
propriate remedies, without the previous employment 
of the aconit. 

Of the remedies employed for the cure of dysentery, 
mere, is one of the most important, and has been used 
in the most simple of its preparations in doses vary- 
ing from gr. i. 2 to 1|30. It has also been employed 
in the form of mere, sublim. corros. in the thirtieth 
dilution. The homoeopathic aggravation or com- 
mencing improvement, should be seen soon after 
its administration; and when aggravation occurs, it 
should be followed by improvement in less than four 
hours. If this does not happen, it is most probable 
that mere, is not the appropriate remedy. I have, 



DYSENTERIA. 133 

however, sometimes thought it useful, when mere, 
has not procured marked relief in four hours, to 
follow it with a dose of mere, sublim. corros., espe- 
cially when the symptoms have been similar to those 
of the following case. 

A man set 40 ann., was attacked by an autumnal, 
epidemic dysentery, and had suffered under it until 
the sixth day without medical aid, when he present- 
ed the following symptoms : namely, violent cutting 
pains in the abdomen, which diminished in violence 
whilst he laid quiet in bed, but became intolerably 
severe when he had to rise to stool. The tenesmus 
was excessively violent, "as if all the bowels would 
be pressed out;" and the discharges were of mucus 
mixed with blood. The tenesmus increased after 
the discharges, and on rising from the close-stool, but 
gradually lessened after he had laid down in bed. 
The discharge corroded the anus and caused painful 
burning. The disease was worst at night, and had 
continued, from the first, to increase in intensity, and 
on the last night the patient had to rise almost con- 
tinually to stool. He was exceedingly debilitated, 
and his pulse was very frequent and weak. Mercur. 
gr. i. 2 was given on the evening of the sixth day, 
and a few dysenteric stools occurred that night. On 
the following morning he was free from his dysentery, 
but had to keep his bed from debility. On the morn- 
ing of the eighth day, cinch, gtt. i. 9 was given to 
remove the weakness under which he suffered. The 
next day he felt well, and afterwards had no relapse. 

To some cases, presenting symptoms similar to the 
above, arsenicum is also adapted; but it is most 
particularly useful when the symptoms present a 
malignant character, and the stools, though not 



134 DYSENTERIA. 

excessively painful, consist of "degenerated and offen- 
sive masses," which are sometimes discharged in- 
voluntarily; and there are nausea, and bilious or 
mucous vomiting, putrid taste, putrid odour of the 
breath, hemorrhages, petechise, aphthae, burning hot 
skin, clouded urine with a cadaverous odour, sunken 
countenance, and torpid or soporose condition. Acid, 
sulph., cinchona and nux vom. may also be indicated 
in dysentery of this character. 

In dysenteries, where the progress of improvement 
is slow, or where, after some improvement, there is a 
disposition to relapse, acid, nit., petrol, or sulphur. 
may be indicated. 

In dysenteries attended by great heat, redness of 
the face, thirst, tormina and tenesmus; the discharges 
consisting of scybala, with blood and mucus; nux 
vom. 

In dysenteries produced by marsh miasmata, espe- 
cially when the accompanying fever assumes an 
intermittent character, cinchona will frequently be 
found to be the proper remedy. 

In cases where the improvement after mere, has 
advanced slowly, verbascum, in the dose of one 
twentieth or one fiftieth of a drop of the tincture, 
formed by a mixture of equal parts of the juice of the 
plant and of alcohol, has, in several instances, appear- 
ed to operate very beneficially. 

In addition to the remedies already mentioned, the 
following have also been found useful : namely, bellad., 
cham., colchicurn, eoloevnth., dulcamara, pulsat., rhus, 
sulphur. 



DYSPEPSIA. 135 

DYSPEPSIA. 

Difficulty of digestion. 

Among the symptoms which mark the existence 
of those forms of morbid action which impair the 
energies of the stomach, and consequently unfit it, in 
a greater or less degree, for the proper performance 
of its important functions, are, innormal sensations in 
the region of the stomach ; eructation or vomiting of 
the ingesta, or of flatus, acid fluid or other morbid 
secretions or products; nausea and disordered taste. 
And as the diseased action most generally extends 
itself to the intestines, the symptoms of gastric de- 
rangement are frequently attended by those of enteric 
disorder, among which, constipation and diarrhoea 
are the most common and striking. 

It is my object in this place, to give a brief but 
useful index to the remedies adapted to the most im- 
portant of these symptoms. I shall do this in the 
order in which they have just been mentioned. 

Of the Morbid Sensations. One of these is 
pain in the stomach, (gastrodynia,) which presents 
numerous varieties of form. I shall, however, include 
all, as sufficient for the present purpose, under four 
heads: namely, pressing, constrictive, sticking and 
gnawing pains. 

Pressing pains, which are very analogous on the 
one hand to the sensation of fulness and weight, and 
on the other to the constrictive pains, are adapted to 
carbo veg. when worse on lying down; to lycopod. 
when the pressure appears to come from both sides ; 
and to bellad., baryt., cinch., magnesia carb., petrol, 
phosph. 



136 DYSPEPSIA. 

Constrictive pains, in their lightest forms, most 
closely resemble the sensation of tightness, and in 
their worse forms constitute cramps or griping pains 
of the stomach. To these arsen., barijt. acet., bellad., 
calcis carb., carbo veg., cocculus, magnesia carb. and 
phosph. are adapted. 

Sticking pains to bryonia when the pain is increased 
by every step ; to phosph. when greatly aggravated in 
the evening and at night; and to bellad. and ignatia. 

Gnawing pains; arsen., bellad., mezer., nux vom. 

The other morbid sensations are those which, 
although they are in general highly disagreeable, yet 
cannot be termed pains. Of these : 

The sensation of pressure is adapted to calcis carb. 
in those cases where the pressing is most severe 
when the stomach is empty. 

The sensation of heat or burning to arsen., bellad., 
carbo veg., cinch., mezer., lobelia, lycopod., nux vom. 
and phosph. 

Sensations of fulness and weight, to baryt., bismuth., 
carbo veg., ignatia, nux vom. 

Sensation of distension of the stomach, to bryonia. 

Eructation, when flatulent, may be adapted to 
bryonia, calcis carb., carbo veg.; when of the ingesta, 
to ignatia; when of an acrimonious fluid, to acid, 
sulph.; when saline, acid and acrimonious, to sepia; 
when acid and bitter, to calcis carb., magnesia carb., 
nux vom. and phosph. 

Vomiting is adapted to arsen., baryt. acet., bellad., 
calcis carb., digitalis, lobelia, ipecac, nux vom., phosph. 
Of these, arsen. is adapted when the vomiting causes 
an increase of the pain; calcis carb. or nux vom. when 
the ejected matters consist of the food and bitter 
mucus; petrol, when of a green and bitter fluid; 



DYSPEPSIA. 137 

phosph. when the vomiting of a transparent, acid 
fluid occurs in the evening or night; lobelia when 
the food is vomited up soon after the meal. 

Nausea. Carlo veg., cinch., cocculus, digitalis, 
lycopod. 

Morbid Taste. When acid and bitter, petrol; 
when acid, nux vom., ignatia; when putrid, nux 
vom. 

Constipation. Alumina, arsen., baryt. acet., bryon., 
calcis carb., carbo veg., cinch., graphit., ignatia, nux 
vom., soda carb., soda mur. 

Diarrhoea. Calcis carb., digital, nux vom., petrol, 
phosph., pulsat. 

There are some other guides to the choice of the 
remedies which it may be proper to indicate; namely, 
when the cause of the dyspepsia has been mechanical 
injury in the region of the stomach, as from a violent 
blow, bryonia will probably be the proper remedy; 
when the disease has arisen from eating fat food, 
fresh pork, &c, pulsat.; when it is attended by a 
sensation of oppression or tightness of the breast, 
lobelia, lycopod., nux vom. 

Acid, sulph. has been recommended, by Hahne- 
mann, as a valuable remedy in dyspepsia of long 
continuance, when there is frequent eructation of an 
acrimonious fluid. 

Alumina has been recommended as being some- 
times useful in dyspepsia, attended by obstinate con- 
stipation. 

Arsenicum is a valuable remedy where there are 
sensations of great heat and gnawing pain in the 
stomach; especially when these symptoms arise from 
a cancerous condition of that organ. 

Case. Scirrhus of the stomach in an old woman. 



138 DYSPEPSIA. 

Constrictive and burning pains in the epigastrium 
and in the back ; the epigastrium tense, and painful 
on pressure. Daily vomiting of the ingesta, either 
immediately or some hours after eating, with increase 
of the pains. Tongue clean; mouth dry; thirst; 
sunken abdomen; constipation. Emaciation, debility 
and sleeplessness. Arsen. 30, in numerous doses, at 
long intervals, removed the most distressing of these 
symptoms for a long time. 

Aurum removed an indescribable aching sensation, 
and great accompanying restlessness and mental de- 
pression, in a case where nux vom. had cured the 
most of the dyspeptic symptoms. 

Baryt. carb. is often useful, especially in persons 
of a scrofulous habit, when a very light meal excites 
sensations of great fulness and weight in the stomach. 

Baryt. acet. Case. In a man set. 77 ann. ; arising 
from repelled tetter. Dyspepsia of six months' dura- 
tion. Most violent cramps in the stomach, burning 
in the region of the stomach, retching, vomiting of 
the ingesta, constipation enduring from twelve to 
fourteen days. General emaciation and swelling of 
the lower extremities. Baryt. acet. 18, after pre- 
viously administered nux vom., caused a reappear- 
ance of the tetter ; and, together with a dose of sul- 
phur and one of conium, removed the most important 
symptoms, so that the patient, after some weeks, could 
leave his bed and take a sufficient quantity of food 
and drink without inconvenience, and had natural 
stools. 

Belladonna is adapted to some obstinate forms of 
cramp of the stomach, to which chamomil. appears to 
be suited, but affords no relief. The indications for 
the employment of the belladonna are, a gnawing 



DYSPEPSIA. 139 

and pressing or a spasmodic stretching pain in the 
epigastrium, which compels the patient, from time to 
time, to bend himself backwards and to hold his 
breath; or when the severe pain produces insensi- 
bility or syncope; or when it always attacks during 
dinner. 

Case. In a young lady set. 19 ann. otherwise 
healthy. Disease of five years' duration. Upon ex- 
posure to cold, or from wetting the feet, or from eating 
flatulent food, and especially at the menstrual periods ; 
attacks of the following description. Violent sticking 
and pinching pain extending from the epigastric into 
the umbilical region. Anxiety, and a feeling as if 
the entire abdomen was knotted together. Great 
tendency to syncope, and a cold feeling of the whole 
body. Nausea, offensive eructation, and sometimes 
vomiting. Pressure of the abdomen and bending 
forward afforded some relief. The eructation relieved 
her more. Her countenance was pale; her mouth 
dry; hands cold; and pulse small, hard and slow. 
The paroxysms endured from ten minutes to half an 
hour, and left her for some hours exceedingly weak 
and uncomfortable. After a dose of belladona, there 
were symptoms of an approaching paroxysm which 
did not fully develope itself. These occurred for 
three days in succession, but afterwards she remained 
well until the next menstrual period, which occurred 
five days too early, when slight paroxysms appeared. 
A dose of sepia was then given, and the next men- 
struation occurred at the proper period, without any 
return of the disease. A year afterwards no relapse 
had happened. 

Bismuthum is remarkably useful in most obstinate 
dyspepsia, especially when accompanied by severe 



140 DYSPEPSIA. 

pressing pain, or by a sensation of weight and in- 
describable discomfort. 

Bryonia is useful in the milder forms of gastrodynia, 
when this begins whilst or immediately after eating, 
and is accompanied by a sensation of swelling of the 
stomach. Also when there is considerable costive- 
ness, and an increase of the pain during motion, and 
decrease whilst at rest. Or where the gastric affection 
is accompanied with pressing pain in the temples, 
forehead and back of the head, as if the bones of the 
cranium would be pressed asunder. Also where the 
above symptoms are present from mechanical injury 
in the region of the stomach. 

Case. In a robust washerwoman set. 40 ann. 
Disease of three weeks' duration, and incapacitating 
her for her employment. By every movement, es- 
pecially by every step, and worst by every mis-step, 
a sticking pain in the epigastrium, and passing, as 
she said, from thence out of the left side. Whilst 
lying down she felt well and had no pain any where. 
She could not sleep later than three o'clock in the 
morning. The food had its proper taste, but as soon 
as she had eaten, she felt a disposition to vomit. She 
had a flow of water into the mouth. There was 
frequent flatulent eructation after eating. She was 
of passionate temper. With the severe pain she per- 
spired freely. Her menses had occurred in order 
fourteen days before. All the other circumstances 
were natural. Hahnemann, who records the case, 
gave sue. rad. bryon. alb., gtt. i., and on the next day 
the patient was able to resume her employment, and 
on the succeeding day was perfectly well. 

Calcis carb. Hartlaub has found this remedy 
useful where there was a sensation of severe pressure 



DYSPEPSIA. 141 

in the stomach, which was most severe when this 
organ was empty. And where there was periodic 
anxiety, peevishness, vertigo, palpitation of the heart, 
constipation for several days, paralytic weakness, and 
emaciation. Frequent loud eructation after eating. 
Pinching in the stomach, and vomiting of the food 
after eating. And also in a case where there was 
pinching pain and vomiting of food and bitter mucus 
after eating, and at the same time diarrhoea with 
yellow and fetid stools. 

Case. In a person of choleric temperament. Gas- 
trodynia with nausea, acid eructation, acid and bitter 
vomiting, anxiety and constriction of the breast, pal- 
pitation of heart, constipation and blind haemorrhoids ; 
calcis carb. effected a cure. 

Cantharides effected a considerable improvement 
in a case in which there was dysphagia and an eruc- 
tation of half digested food at night. 

Carbo veg. is a valuable remedy in dyspepsia, 
where there is a sensation of burning heat and of a 
heavy and continual weight in the stomach, with 
great sensibility at the epigastrium; or where a 
spasmodic constrictive feeling compels the patient to 
stoop, impedes respiration, and is worse while lying 
down; where nausea is produced even by the thought 
of eating, and there is constipation. Also where 
there is eructation after meals, and disturbance from 
flatulence. 

Case. Severe griping and pressing in the stomach, 
especially after eating, but often throughout the night, 
particularly after flatulent food, exposure to cold or 
wet feet. During the pain, the region of the stomach 
was distended, and painful on being touched. Defi- 
cient appetite ; bitter taste , stools hard and occurring 



142 DYSPEPSIA. 

only every second or third day. Two doses of carbo 
veg. 30 effected a permanent cure. 

Chamomil. is adapted to dyspepsia, in persons not 
disposed to violent outbursts of passion, which owes 
its origin to severe vexation; and when there is a 
severe pressing pain as if there was a stone in the 
stomach; anxiety and shortness of breath, worse at 
night, and sometimes associated with a beating pain 
in the crown of the head, which compels the patient 
to sit up. The gastrodynia moderated by drinking 
coffee. 

Cinchona. Case, occurring after parturition and 
whilst nursing. Disinclination for food and drink. 
Pressing in the stomach, heart-burn, flow of water 
into the mouth, and retching after eating. Languid 
and sleepy in the day time. Small stools discharged 
slowly. Pulse weak and small, sallow countenance. 
Yellowness of the eyes. Cinchona gtt. i. 6, and 
afterwards cinch, gtt. i. 12, effected a cure. 

Cocculus is useful when with the gastrodynia there 
is a pressing and constrictive pain throughout the 
whole abdomen, which is relieved by discharges of 
flatus or by nausea and a flow of water into the 
mouth, but no burning sensation attends. 

Digitalis is useful in dyspepsia attended by nausea, 
vomiting, bitter taste, loss of appetite, thirst, diarrhoea, 
pain in the forehead and great weakness. 

Graphites is useful in great debility of the digestive 
organs attended by costiveness. 

Ignatia. Case. Much mucus in the mouth, and 
an acid taste of the saliva. Loss of appetite for food, 
drink and smoking tobacco; eructation of the food: 
singultus ; burning in the stomach ; slight sticking in 
the epigastrium, which is very sensitive to pressure, 



DYSPEPSIA. 143 

and in which there is a sensation of weakness and 
emptiness. 

Ismatia is useful where there is a sensation of 
heaviness of the stomach, with sticking pains in the 
region of its cardiac orifice, and costiveness. Also in 
those forms of dyspepsia which arise from care and 
grief. 

Ipecac, is sometimes serviceable in dyspepsia when 
there is nausea and vomiting, the latter is accompa- 
nied by a sticking pain in the epigastrium, and on 
the cessation of vomiting a severe aching of the 
stomach. 

Lobelia inflata. Case in a married lady set. 38 ann. 
Accompanying chronic dyspnoea. Sensation of weak- 
ness and oppression at the epigastrium, and extend- 
ing from thence into the chest. Burning in the 
stomach, and a sensation as if there was a burning 
lump in the pit of the throat, which appeared to 
impede swallowing and respiration. In swallowing, 
it seemed as if at this point something rose up to 
meet the food and obstruct its descent into the stomach. 
Frequent eructation of acid fluid with sensation of 
burning. Frequent vomiting of the food after meals, 
especially after eating warm food. She "had not 
known what it was to be without heart-burn for one 
hour, for the last year." Her urine was high coloured, 
and deposited a copious red sediment. She had for 
a long time been subject to pain in the left lumbar 
region of the abdomen. Lobelia 4|6 effected a gradual 
but perfect removal of the whole train of her dyspeptic 
symptoms. 

In numerous cases besides the above, I have suc- 
ceeded in removing the dyspeptic symptoms by the 
employment of the same remedy. The chief indica- 



144 DYSPEPSIA. 

tions for its use are — the sense of weakness and 
oppression at the epigastrium, and at the same time 
some oppression at the breast. But the nearer the 
approach of the symptoms has been to those of the 
above case, the less have I been disappointed in my 
expectations of a strikingly beneficial operation of the 
lobelia. There are, however, some cases where, 
although the symptoms of pectoral oppression are 
very trifling, yet this remedy operates satisfactorily. 
In a case of this kind, which I have but recently 
treated, and which occurred in a fat and robust man 
about 45 years of age, who complained chiefly of a 
copious hemorrhoidal discharge and consequent de- 
bility, and a sensation of tightness in the epigastrium 
and some acidity of stomach. I at first gave him 
nux vom. without any apparent abatement of his 
disease, and subsequently some other remedies with 
the same want of success. At length he complained 
of some oppression at the breast, for which I admin- 
istered lobelia 5|6. The following day he informed 
me that he felt new life and vigour, and that the 
pectoral, gastric and hemorrhoidal disorders had all 
disappeared. Since that time, now about two weeks, 
he has remained free from them, and also from a feel- 
ing of want of power in the anus and rectum which 
was exceedingly uncomfortable to him while at stool, 
and to which he had been subject for many years. 

Lycopodium. Case, in a young woman who had 
suffered under the complaint for six months. Gastro- 
dynia occurring in the mornings after she had been 
up for an hour or two, continuing throughout the 
day, and only ceasing on her becoming warm in bed 
at night. It was worse in the open air, and after 
eating flatulent food ; and caused a sensation as if the 



DYSPEPSIA. 145 

stomach was strongly pressed from both sides. A 
kind of cramp of the breast, almost preventing respi- 
ration, accompanied it. At times there was nausea, 
or tearing pain in the lower part of the abdomen, or 
pressing pain in the forehead with some vertigo. 
Stools regular. Menstruation, after cessation for one 
period, had continued after the next period almost un- 
interruptedly for fourteen days, was tolerably copious 
and attended by pains in the abdomen and back. The 
gastrodynia would continue to recur every day for 
eight or fourteen days, and would then cease for some 
days. Lycopod. 3|30 completely removed the disease 
in the course of four weeks, and at the end of a year 
there had been no return of it. 

Lycopod. is also useful where there is burning pain 
in the region of the stomach. 

Magnesia carb. is useful in dyspepsia, with press- 
ing and constrictive pain in the region of the stomach 
and frequent acid eructation. 

Mezereum is recommended where there is a gnaw- 
ing and burning pain in the stomach. 

Nux vom. may be said to be the most important 
remedy in the treatment of dyspepsia. In those 
forms of the disease which owe their origin to the 
abuse of coffee or alcoholic drinks, it is generally 
applicable. As also where there is a sensation of 
weight in the stomach, and such a feeling of tight- 
ness about the epigastrium that the patient imagines 
his clothes press against it too firmly ; these symptoms 
aggravated after eating, or by drinking coffee. Also 
where there is tightness of the chest, causing difficulty 
of respiration or even asthma — these symptoms ap- 
pearing when the patient first awakes in the morn- 
ing. Or where the following symptoms are present : 
10 



146 DYSPEPSIA. 

namely, nausea ; now of water into the mouth ; eruc- 
tation of acid and bitter fluid, either with or without 
burning heat; vomiting of food or mucus; retching; 
palpitation of the heart, with anxiety; acid or putrid 
taste; constipation, or alternating constipation and 
mucous diarrhoea; flatulent distension of the abdo- 
men; sometimes hemicrania; sometimes pressing pain 
in the forehead. Also where the pain is relieved by 
bending forward, by external warmth or by vomiting. 
Also where the pain is gnawing. 

Petroleum. In a case of dyspepsia, attended by 
diarrhoea, with acrimonious discharges, where the 
appetite was poor; and there was a dislike of all kinds 
of meat, but especially of fat meat; thirst; bitter and 
acid taste ; nausea, and pressing in the stomach after 
eating; sometimes vomiting of a green and bitter 
fluid; sensation of coldness, and severe cutting pain 
in the abdomen. 

Phosphorus has been found useful in dyspepsias in 
which there was a constriction of the cardiac orifice 
of the stomach, in consequence of which the scarcely 
swallowed food was brought up again into the mouth. 
It has also cured, where, besides the sensation of con- 
striction and pressure in the stomach, there was a 
frequent eructation of a bitter, acid fluid, particularly 
after eating, and frequently recurring diarrhoea. Also 
where with these symptoms there was vomiting of a 
transparent acid fluid in the evening or at night, and 
acid eructation. 

Case. In a man set. 48 ann. Burning, sticking 
and pressing in the stomach constantly, but worse a 
couple of hours after eating. Similar aggravation 
often occurred late in the evening or at night, and 
disturbed the sleep. The burning sensation rose into 



DYSPEPSIA. 147 

the throat. There was in the stomach a constant sensa- 
tion of fermentation. Sometimes there was vomiting 
of water, at other times acid eructation. Stools oc- 
curring too seldom, always hard, and passed with 
effort. Burning in the rectum, at times debility. 
Nux vom. and sulphur effected no improvement, but 
after phosph. 1|18 there was an increase of appetite, 
gradual diminution of the gastric disorder, and an 
increase of strength. The stools became regular and 
of the proper consistence. For a slight relapse at the 
end of three months, phosphor. 3|30 was given, which 
completely removed the disease in eight days, and at 
the end of twenty-two months there had been no 
return of it. 

Pulsatilla is useful in dyspepsia accompanied by 
nausea and vomiting. Also where the disease is at- 
tended by diarrhoea and sensation of tightness or 
pulsation at the epigastrium, the pain and fulness of 
which are diminished after eating. 

This remedy is strikingly beneficial in many cases 
of dyspepsia, arising from eating fat meat, fresh pork, 
fried food, or rich pastry. It is often useful in dys- 
pepsia accompanying deficient menstruation. 

Sepia. Case in a young man who had suffered for 
several years under dyspepsia of the following form, 
for which he had been treated in the common mode 
without success. About noon and in the evening he 
was tormented with a constant rising of an acrimo- 
nious, saltish and acid fluid, which had depressed 
his spirits and rendered him almost weary of his life. 
Sepia 1|30 was dissolved in eight ounces of water, 
and the patient was directed to take half an ounce 
every night on going to bed. The first dose produced 
such an aggravation of the complaint that the patient 

10* 



148 DYSPHAGIA. 

discontinued its use for three days. Afterwards the 
improvement was steady, and in two months the 
health was completely restored. 

Sodce carb. and soda mur. are frequently useful in 
dyspepsia, attended by obstinate constipation. 

Besides the above remedies, ipecac, rhus, stannum, 
staphisag., sulphur and numerous others have, at 
times, proved useful in dyspepsia, but the particular 
indications for their employment have not been so 
satisfactorily laid down by practical writers as to 
render it expedient to enter into any details respecting 
them in this place. 

DYSPHAGIA. 

Difficulty of swallowing. 

Difficulty of deglutition occurs as a symptom of 
angina and hydrophobia, and is to be removed by the 
remedies which are appropriate to the diseases which 
it accompanies. But it sometimes occurs as a con- 
sequence of some disease less perfectly known, either 
of the oesophagus or of the cardiac orifice of the 
stomach. And as the dysphagia may, in many of 
these instances, depend upon the same disease, the 
following cases may sometimes furnish aid in the 
selection of the remedies in future practice. 

Case. Frequently, difficulty of swallowing liquids; 
constantly, great difficulty in swallowing more solid 
food. The patient could only eat bread crumbled in 
milk, or bread with a large quantity of slightly salted 
butter. At night there was eructation of the half 
digested food. Bellad., hyosc. and cicuta were given 
without benefit. Cantharides gtt. i. 30, repeated at 
the end of fourteen days, effected great improvement. 



DYSPHAGIA. 149 

The cure was completed with phosphor., sulphur and 
lycopodium. 

(Case. Apparently rising from a contraction of 
the oesophagus near the cardiac orifice of the stomach. 
This disease occurred in the person of a young man, 
about 25 years of age, by occupation a baker, and of 
very temperate habits. He came under my notice as 
a patient in October last, and presented the following 
symptoms : viz., much general debility of body arising 
from inadequate nutrition, attended with a corres- 
ponding dejection of mind. His nervous irritability 
was such, that he seldom enjoyed a comfortable night's 
repose, and never rose from his bed refreshed and 
strengthened to renew his daily toil. But the most 
alarming symptom, and one which threatened him at 
no very remote period with starvation, was the diffi- 
culty he experienced in passing food into his stomach, 
which had been gradually increasing for three years 
past. He could not, at the time I first saw him, 
swallow an ordinary draught of water or any other 
fluid, nor was he more successful when he attempted 
to swallow small portions of solid food. 

He fortunately discovered, although neither fluids 
nor solids in small portions could be forced into the 
stomach, but were arrested before they entered this 
organ, that by continuing to swallow his food as well 
as he could, until the oesophagus was filled, and then 
by taking as much water into his mouth as he was 
able, and afterwards making strong voluntary at- 
tempts at deglutition, he could succeed in forcing the 
arrested mass into his stomach. These voluntary 
exertions were attended with much pain at the time 
they were made, and left the lower portion of the 
oesophagus sore and tender for some time afterwards. 



150 DYSPHAGIA. 

In this manner the patient had subsisted for many 
months, during which the difficulty of swallowing 
was gradually increasing. In the mean time he had 
consulted one of the most eminent practitioners of the 
old system, and had submitted to the Thomsonian 
treatment, but without receiving any relief. Fearing 
that ere long his powers of deglutition would be un- 
availing, and that a lingering death from inanition 
would ensue, he sought my advice. I have treated 
him exclusively upon homoeopathic principles, un- 
aided by any mechanical means, and have been 
abundantly satisfied with the result. The remedies 
used in the early part of the treatment were bell., ars. 
and nux v., which soon produced a marked degree of 
improvement in his general health, allaying his 
nervous excitement, restoring his natural sleep, and 
recruiting his physical energies. I subsequently gave 
him carb. v. and petrol, in alternation, which acted 
more locally and enabled the patient to swallow his 
food with less difficulty. He is now (March 20th) 
able to eat thickened milk, mush and milk and other 
similar preparations with facility, swallowing them 
completely, without painful effort; bread and butter, 
meat, &c, also pass into the stomach with very little 
effort, and every day his condition is improving. 
There is every reason, therefore, to believe that a 
perfect cure will be effected. Green.) 

Case. Sensation of a lump with a burning feeling 
at the pit of the throat, with the sensation of some- 
thing rising to meet the food and obstructing it in its 
descent towards the stomach ; occurring in a patient 
suffering under dyspepsia and dyspnoea. The dys- 
phagia, together with the other diseases, were cured 
with lobelia. J. 



EAR AND HEARING. 151 



EAR AND HEARING. 

Otalgia. In aching of the ears; bellad., chamomile 
digitalis, mere, nux vom., pulsat., rhus and spigelia 
have proved successful remedies. 

Otitis. In inflammation of the ears, it is some- 
times proper, where there is considerable fever, to 
commence the treatment with aconit. But this is 
not often necessary, and therefore the remedies 
which act most powerfully on the affected parts, 
should generally be employed at once. Of these 
belladonna is most useful in otitis interna, especially 
when this is combined, as it very frequently is, with 
inflammation of the brain. Pulsatilla is most generally 
the proper remedy in otitis externa, in which mere. 
and nux vom. have also proved useful, and the other 
remedies which have just been mentioned as success- 
ful in otalgia, are deserving of attention. 

Otorrhea. When suppuration has taken place, 
and there is a chronic discharge of pus or puroloid 
matter from the ear, the remedies must be such as 
are capable of removing the disease of the system on 
which this otorrhcea depends. There are, however, 
some cases in which the local affection is the only 
striking symptom of the existence of a morbid condi- 
tion of the system. In a case of this kind in a child 
set. 3 ann., who had suffered with a fetid otorrhoea 
for several months, the discharged fluid being of such 
an acrimonious character as to cause excoriation of 
the skin of the ear and also of the skin over the angle 
of the jaw, and attended with itching or some other 
sensation in the ear, which induced the child to bore 
it with its fingers until the ear would bleed ; digitalis 



152 EAR AND HEARING. 

effected a perfect cure in the course of a few days, 
and at the end of six months there had been no return 
of the complaint. 

Belladonna, pulsat. and mere, have proved service- 
able in ottorrhoea, and the last of these remedies has 
been reported as having effected the removal of a 
polypus of the ear. 

Dyseccea. Imperfection or difficulty of hearing, 
which is popularly termed, "hardness of hearing," 
exists in every degree of intensity, from inability to 
perceive some very low sounds, to perfect deafness. 
It may arise from obstruction of the external meatus 
by concrete cerumen, polypus or foreign bodies; from 
imperviousness of the Eustachian tube; from injury 
or destruction of the membrana tympani, or of the 
small bones of the ear, or from other structural lesions 
of this organ. But it perhaps owes its origin more 
frequently to a partial paralysis of the auditory nerves, 
than to any defects in the structure of the ears. 

Proceeding, as this disease does, from such a variety 
of causes, it is necessary that the physician, before 
commencing its treatment, should carefully inspect 
the ear and enquire into the circumstances and history 
of the case. For where the dyseccea depends on ob- 
struction of the meatus externus, medicines cannot 
be expected to do much good, because they cannot, 
except in the cases of polypus, effect the removal of 
the obstructing bodies ; and when the dyseccea arises 
from destruction of parts, it must be to a considerable 
extent incurable. The cases which are capable of 
being improved by medical means, are those which 
depend on a present morbid action in some part of the 
ear, or on a loss of power in the auditory nerves ; and 
the chances of success are much diminished if not 



EAR AND HEARING. 153 

entirely destroyed, when the patient has been sub- 
jected to the operation of puncturing the membrana 
tympani, which frequently injures the ear to such an 
extent that recovery of the hearing becomes nearly 
hopeless. 

The following statements in relation to the homoeo- 
pathic treatment of dysecoea, though very unsatis- 
factory, are all that can be presented at the present 
time. It is to be hoped that homoeopathic physicians 
who have treated this affection successfully, will 
publish their cases in such detail that a judgment 
may be formed of their value and a more accurate 
knowledge may be obtained in regard to the opera- 
tions of remedies in correcting defects of hearing. 

Calcis carb. has proved useful in several cases of 
dysecoea. In two cases, the secretion of cerumen, 
which had been previously deficient in quantity, was 
increased in amount after the employment of this 
remedy. One of these was in a woman set. 41 ann. 
The dysecoea of the right ear commenced in her 
childhood during an attack of natural small-pox; the 
left ear was at times also affected. There was a 
sound in the ears resembling the driving of wagons, 
and almost constant cephalalgia. Calcis carb. 3)24 
effected great and permanent improvement of the 
hearing. 

Petroleum cured a case where calcis carb. had been 
previously employed with advantage. And in the 
case of a man set. 29 ann., where ringing of the ears, 
the secretion of a concrete cerumen, cephalalgia and 
haemorrhage of the gums accompanied the dysecoea, 
this remedy completed the cure which had been com- 
menced by silex. 

The following remedies are also mentioned as 



154 ERUPTIONES CUTANEA. 

having been advantageously employed in the treat- 
ment of dysecoea; bellad., graphit., ledum, pulsat., 
spigelia. 

ERUPTIONES CUTANEA. 

Under this head are included most of those cu- 
taneous diseases, (with the exception of Rubeola, 
Scarlatina and Variola,) which having been success- 
fully treated on homoeopathic principles, are recorded 
in the works to which I have had access. 

The terms papulae, pustules and vesicles, are em- 
ployed in their usual meanings; namely, papulae — 
small inflamed elevations of the cuticle; pustules — 
small elevations on the skin containing pus; vesicles 
— small elevations of the cuticle containing a trans- 
parent fluid whether coloured or not. 

The term crusts, as here employed, is generally a 
literal translation of the German word kruste, and is 
applied most frequently to those scabby coverings of 
the diseased skin which appear to be formed by the 
concretion of effused fluids. It may, however, some- 
times be applied to irregular layers of morbid cuticle. 

The term scale, a literal translation of the German 
word schuppe, is applied sometimes to a thin coating 
of the diseased skin, formed by the concretion of 
effuse fluids; but it is also applied to a lamina of 
morbid cuticle. 

The term scurf, a literal translation of the word 
schorfe, is applied to furfuraceous desquamation of 
the cuticle. 

The most of the names of cutaneous eruptions 
which occur here, have been applied by the phy- 
sicians who have reported the cases. To many of 



ERUPTIONES CUTANEA. 155 

the eruptions no names have been given; the letters 
E. c. have been placed before these to express the 
general term eruptio cutanea. Nor is this neglect 
of nomenclature to be regretted in relation to a large 
number of cutaneous diseases, for it will be much 
easier to ascertain what remedies have cured similar 
diseases by a reference to characteristic symptoms, 
than by the name of the disease. Because, in order 
to ascertain the remedy through the latter means, it 
is necessary that the physician shall know that the 
case, which he is about to treat, is entitled to such or 
such a name, i. e. in common language, that it is 
such or such a disease. This is comparatively easy 
in regard to erysipelas, zona and some others, but in 
respect to the greater number of cutaneous affections, 
it is exceedingly difficult; so much so, indeed, that it 
would frequently happen, that if the cure depended 
on the ability of the physician to bestow the proper 
name on the disease, the case would remain uncured. 

In the index, where, after the name of the disease, 
the first mentioned remedy is printed in italics, a 
description of the disease or a general view of its 
treatment will be found under that remedy. 

Bucnemia. Graphit. 

Crusta lactea. Viola tricol. Arsen., calcis sulph., 
carbo veg., dulcam., graphit., lycop., mere, sepia, 
staphys., sulphur, tr. acris. 

Crusta serpiginosa. Sarsaparilla. Ac. phosph., 
arsen., calcis carb., cicuta, clematis, conium, graphit., 
ledum, lycopod., rhus, sodse mur., sulphur. 

Elephantiasis. Alum., arsen., graphit., sepia. 

Erysipelas. Bellad., bryon., calcis sulph., pulsat. 

Erysipelas vesiculare. Rhus. Graphit., calcis 
sulph., bellad. 



156 ERUPTIONES CUTANEiE. 

Eruptions forming crusts ; arsen., bellad., clemat, 
conium, mere, rhus: brown crusts; ac. phosph.: 
brownish yellow ; lycopod. : yellow ; cicuta, rhus : 
yellowish green ; sulphur : whitish gray ; graphit. 

Eruptions forming scales; bryon., lycop., sulphur. 

Eruptions forming scurf; alum., arsen., baryt, 
bryon., bovist., conium, graphit., lycop., sulph. 

Eruptions of syphilitic origin; mere. 

Eruptions, papular; calcis carb., calcis sulph., 
cicuta, ledum, sepia, sulphur. 

Eruptions, pustular: arsen., baryt., bellad., calcis 
carb., graphit., mere, rhus. 

Eruptions, vesicular: arsen., bellad., bryon., bovist^ 
cicuta, dulcam., rhus, sulphur. 

Psora. Sulphur, carbo veg., sepia, tr. acris. 

Rhagades. Bryon., calcis carb., calcis sulph., 
sepia, sulphur. 

Tinea capitis. Baryt., belladonna, calcis carb., 
graphit., lycopod., oleander, phosph., rhus, sepia, 
staphys., sulphur. 

Zona. Cingulum. Herpes zoster. Shingles. — 
Arsen., graphit., pulsat, rhus. 

Acid, phosph. E. c. A moist, tetter-like eruption 
on the red of the lips, the cheeks, and about the 
angles of the mouth. The lips raw in some places, 
and in others covered with thin brown crusts, and 
bleeding underneath. The affected parts of the 
cheeks covered with thick yellow scurf. 

Ac. phosph. is mentioned by Hartmann as useful 
in some cases of crusta serpiginosa. 

Aconitum. Urticaria. Face blood-red. Body cover- 
ed with the rash. Every time the bed clothes were 
thrown off, severe chill. Pulse hard and frequent. 
Thirst. Oppression at the breast, with short, quick 



ERUPTIONES CUTANEA. 157 

breathing; difficulty of speaking; hoarseness. Sensa- 
tion as if a ball stuck in the throat, preventing speak- 
ing, and impeding respiration. Headache; consti- 
pation; dry hot skin; great anxiety; debility and 
trembling. Aconit. 5|24, in the morning, followed by 
nux v. 2|30 in the evening, effected a cure. 

Alumina. E. c. A moist, scurfy tetter on the 
temples, at the edge of the hair, and some very small 
spots of the same on the fore-arms. 

Elephantiasis; lepra arabum. Dr. Hering, to whom 
we owe all the information which we possess in 
relation to the homoeopathic treatment of this disease, 
found alumina one of the most valuable remedies in 
the swelling of the face ; and that, in some cases, the 
tubercles diminished under its use. 

Arsenicum. Pemphigus. In a man set. 48 ann. 
Vesicles on the body and extremities containing a 
bloody fluid. Fever, headache, diarrhoea, restless- 
ness. Urine burning, and like bloody water. No 
sleep for eight nights; for, on lying down in bed, 
there was severe burning in the skin and a sensation 
as if hot water flowed through his veins. Large 
haemorrhoidal tumours of the size of walnuts, pain 
burning and sticking. Arsen. 30, with speedy relief. 
The haemorrhoidal tumours also rapidly diminished. 

Small ulcers. In a woman set. 60 ann. ; disease of 
several months' duration. Small ichorous ulcers over 
the whole body, the face excepted. Burning itching, 
which compelled scratching, although aggravated by 
it. Worse in the cold, and least troublesome when 
warm. The sores sometimes healed up in places, 
but fresh crops soon showed themselves. All oint- 
ments irritated. The patient became more and more 



158 ERUPTIONES CUTANEA. 

emaciated, was dyspeptic and debilitated. Arsen. 30 
cured the disease perfectly in fourteen days. 

Ulceration, with, formation of crusts. In a man 
set. 43 ann. After a severe chill, an eruption of small, 
red pimples, the tops of which became filled with a 
clear yellow fluid : these burst, and their acrimonious 
discharge corroded the healthy skin, causing the 
formation of large crusts, under which there was a 
continued effusion of matter. The ulcers were con- 
fluent and covered the face, neck, breast, fore-arms 
and hands, and caused an intolerable burning pain 
which prevented sleep. Patient had a saline taste in 
his mouth, little thirst, dirty-yellow coated tongue. 
Diarrhoea; stools yellow; cloudy, yellow, urine. De- 
bility. He was dispirited and peevish. Disease of 
three months' duration. Arsen. 30 effected a cure in 
ten days. 

Vesicular eruptions. Between the scapulae a red 
spot, the size of a dollar, beset with small vesicles, 
which burned intolerably, especially at night; sulphur 
was followed in five days by no relief, but by the ap- 
pearance of a similar eruption over the epigastrium. 
Arsen. 30 was next given, and afforded relief in two 
hours, and in ten days effected a perfect cure. 

Gangrenous vesication. Arsenic, is a valuable 
remedy in this form of disease ; though in some cases 
acid. mur. may be preferable. 

This remedy has been highly recommended in 
herpes zoster, by Dr. Trinks. It has proved useful 
in crusta lactea, and is said by Hartmann to be indi- 
cated in crusta serpiginosa, when the eruption extends 
itself rapidly, and the itching and burning appear to 
be very great, but are lessened by warmth, especially 
in bed. 



ERUPTIONES CUTANEA. 159 

A case of pustular eruption on the face, in the 
region of the beard, accompanying a pustular erup- 
tion of the scalp, forming crusts : with great falling 
out of the hair, and a dead appearance of what was 
left, was slowly cured by arsen. and rhus in alterna- 
tion. 

Arsen. proved useful in two cases of chronic des- 
quamation of the cuticle of the nose. 

Elephantiasis; lepra arabum. Dr. Hering has em- 
ployed arsen. with strikingly beneficial results in this 
disease, for the superficial ulcerations on the balls of 
the toes and soles of the feet, from eroding vesication, 
with loose, skinny and unevenly torn margins; foul, 
yellow ground, red only on the circumference, itching 
and burning severely, especially at night, and attend- 
ed with biting, pinching pain. Also where ulcera- 
tions of the fingers were attended by burning pain. 
The tubercles always diminished after arsenic, and 
sometimes disappeared. 

Urticaria. Arsen. has been recommended in chronic 
urticaria. 

Barytes. Tinea capitis humida, with swelling of 
glands of the neck, has been cured by baryt. acet. 

Pustular eruption on the neck, changing into an 
itching scurf. Baryt. acet., dose repeated in four 
weeks, effected a perfect cure. 

Belladonna. Erysipelas of the face, with severe 
headache,, vertigo, intolerance of light, incessant cold 
shivering, thirst and vomiting. Pulse full and fre- 
quent; bellad. gtt. i. 24. For six hours, aggravation, 
then gradual relief. In nine days the cure was perfect. 
The patient had been twice before attacked by the 
disease, and on one occasion had suffered under it for 
four weeks. 



160 ERUPTIONES CUTANEA. 

In another case, in a woman set. 56 ann. who had 
suffered under repeated attacks of the disease, which 
under the ordinary treatment endured for eleven days, 
and under domestic remedies for a still longer period, 
the cure was perfect by the sixth day after taking 
bellad. 18. 

Vesicular eruptions. Bellad. has been found useful 
in some forms of vesicular eruption, and one case is 
recorded in which this remedy effected the cure of a 
gangrenous vesication on the right leg, accompanied 
by swelling of the foot, pain in the stomach, nausea 
and vomiting. 

Pustular eruption. Bellad. has proved useful in 
pustular, papular and crusty eruptions of the face in 
children. 

Tinea capitis. In some forms of tinea capitis, 
bellad. has been employed with advantage. 

Bovista. E. c. Red spots, with furfuraceous de- 
squamation of the cuticle. E. c. small, crowded, red 
elevations of a raw, scurfy appearance, and secreting 
a transparent fluid on the backs of the hands, and 
occurring every winter. 

Bryonia. In a vesicular eruption on the face, 
where after the bursting of the vesicles there was 
desquamation. Disease originally crusta lactea, and 
of many years' duration. Two doses of bryon. at an 
interval of two weeks, effected a cure. 

Erysipelas of the joints, with increase of pain on 
motion, has been relieved by this remedy. 

In furfuraceous tetter of the eyelids bryon. has been 
recommended. 

Rhagades. In the treatment of chapped lips, bryon. 
has proved useful. 



ERUPTIONES CUTANEA. 161 

Calcis carb. has proved useful in some forms of 
papular eruption on the face. 

Tinea capitis. In a case, with ophthalmia, costive- 
ness, sour sweat and peevishness. 

T. c. In a case of moist tinea capitis, with glandular 
swellings in the neck; thick, swollen lips, and pale, 
bloated face ; a single dose of calcis carb. gtt. i. 30 
effected a cure. 

T. c. This remedy has also been found useful in 
dry tinea capitis. 

Rhagades. Calcis carb. gtt. v. 12, mixed with five 
ounces of water, and locally applied, cured the painful 
chaps which appeared in the hands of a brick-maker 
whenever he worked in wet clay. 

Calcis sulphuret. in repeated doses, at long intervals, 
cured a crusty eruption on the ears; the eruption 
mostly dry; moisture only in a few spots. 

It has also proved useful in pustular, papular and 
crusty eruptions of the face, and in moist tinea capitis. 

In erysipelas it has proved a valuable remedy. 

Urticaria. In a constantly recurring nettle rash on 
the hands and fingers, calcis sulph. was very useful. 

Rhagades. On the palm of the left hand a semi- 
circular spot with deep fissures and chaps, frequently 
bleeding, and attended with burning, and on being 
touched, sticking pain. 

Carbo vey. In psora, carbo veg. has been employ- 
ed with advantage after sulphur. 

Urticaria. Carb. v. has been recommended for 
chronic urticaria. 

Cicuta virosa. Papulae of the face. Dark-red, 

crowded papulae, attended with burning pain during 

the eruptive process ; continuing for some days and 

then desquamating. Disease of sixteen years' duration. 

11 



162 ERUPTIONES CUTANEA. 

Two doses of cicut. viros., the first gtt. i. 2, the 
second gtt. i. 4, at an interval of twenty days, effected 
a perfect cure in thirty days. 

E. on the face forming crusts, in a girl set. 16 ann. 
Every year, from her eleventh to her sixteenth year, 
the disease attacked her in September, and endured 
for a long time. The eruption began with a scabbi- 
ness about the left angle of the mouth. The diseased 
surface poured out a yellowish water, which rendered 
sore the parts which it touched, and excited burning 
pain. These sores secreted a similar fluid, which 
concreted into honey-yellow scabs and formed a thick 
crust The left side of the face, the whole chin, and 
a large part of the skin below the chin were affected. 
In both nostrils yellowish brown scabs were ob- 
servable. The sub-maxillary glands were swollen 
and painful. One twentieth of a drop of the succus 
cicut. vir. with improvement till the ninth day. On 
the eleventh day cicut. vir. gtt. i. 1, with rapid im- 
provement. On the twenty-fifth day, cicuta vir. one 
thousandth of a drop, and by the thirtieth day there 
was not a trace of the disease, and it never appeared 
afterwards. 

Vesicular eruption succeeded by crusts. In a 
child set. 1 ann. Vesicles containing a transparent 
colourless fluid, breaking and then pouring out a 
fluid, which dried into thick yellow scabs forming 
crusts, the sores extending themselves in such a 
manner that many of the crusts were of large size. 
The eruption occupied the skin around the mouth 
and the cheeks, but was worse on the chin. Cicut. 
vir. 1|30. In two weeks well. J. 

Clematis erecta. Vesicular eruption, succeeded by 
crusts. See rhus. 



ERUPTIONES CUTANEA. 163 

Conium mac. E. c. In a female set. 20 ann. who 
in earlier life had suffered from eruption on the head 
and glandular swellings. It was on both fore-arms, 
and began at points from which it extended itself 
until it occupied surfaces of four by eight inches. 
The skin had a porous, highly red, raw appearance, 
was somewhat swollen, and exhibited in places de- 
pressions and furrows. There were sore spots, from 
which a tough clammy lymph and, at times, some 
blood exuded. This lymph dried into a white scurf. 
On the margins of the eruption, under the apparently 
sound skin, small glandular tumours were to be felt, 
which gradually became red, and were finally in- 
volved in the disease. The itching was excessive, 
especially in the evenings. Conium gtt. i. 1, every 
eight days, and sue. conium gtt. i. twice given, per- 
fectly cured the disease in eight weeks. 

E. c. described as a severely burning, biting, moist 
tetter of the hands and fore-arms, which had resisted 
a great variety of treatment. Con. mac. four doses 
in three weeks. The first, sue. conium gtt. i.; the 
second, conium gtt. i. 6; the third, gtt. i. 18; the 
fourth, gtt. i. 24. In six weeks well. A number of 
homoeopathic remedies had been previously used 
without much success. 

E. c. with crusts. A female set. 26 ann. had, from 
her childhood, some spots of the size of a hand on her 
body, covered with crusts. Con. mac. in the same 
doses as in the preceding case, but given in the course 
of two weeks, effected, a perfect cure. 

Dulcamara. Pemphigus. In a boy aged thirteen 
months. Vesicles of the size of peas, seated on an 
inflamed base, and containing a transparent yellow 
fluid. Upon breaking, eating sores were formed, 

11* 



164 ERUPTIONES CUTANEA. 

which discharged a clear red ichor, which, after some 
days, formed a thick brownish red scab, painful on 
being touched. After some days the scabs fell off 
leaving bright red spots. The whole body, but 
chiefly the back and extremities, was covered with 
it. The face only was free from it. Emaciation, 
loss of appetite, thirst. Slimy, brown, diarrhceal 
stools. Urine of strong odour, cloudy and causing 
itching and pain in the parts which were wetted by 
it. But little sleep; restlessness. Dulcam. In a 
few days well. 

Herpes pudendi. Dulcam. has been spoken of as 
being "of inestimable worth in suppurating moist 
tetter about the pudendum." 

Urticaria. The eruption every time preceded by 
a sensation of sticking, as with needles, through the 
whole abdomen, and accompanied by severe itching; 
and after scratching, by burning. Dulc. gtt. i. 24 
speedily cured the disease. 

Urticaria, with fever, bitter taste, slimy coated 
tongue, nausea and vomiting, pressing pain in the 
epigastrium, diarrhoea, dark, cloudy urine, and pains 
in the limbs. 

Graphites. Scurfy tetter on the skin below the 
nose. The affected parts itched severely, and dis- 
charged an acrimonious ichor, which formed a thick 
scurf. There was also a pustular eruption over the 
whole body, and sticking pain in the anus before the 
stools. 

Tetter on the arms, hands, face, ears, calves of the 
legs and thighs. There was a thick, whitish gray 
crust formed by exuding lymph, under which the 
skin had a red and sore appearance. Severe biting, 
itching, tooth and ear-ache at night. Stiffness and 



ERUFTIONES CUTANEA. 165 

immobility of the affected parts, with swelling of the 
glands. After phosphorus, graphit. 12 effected a 
speedy cure. 

Herpes zoster, zona, &c. Graphit. 3|30, three doses, 
one every other day. 

Crusta lactea. Scurfy, ulcerated nose and lips, 
with some itching. 

Tinea capitis. Graphit. 30, every ten days a dose, 
cured a tinea capitis, but an erysipelas of the face 
then appeared. 

T. c. Graph. 2|30, five doses, one every week, 
cured a case of tinea capitis humida, which chiefly 
affected the top of the head, and was accompanied by 
itching and a falling out of the hair. 

Elephantiasis; lepra arabum. "It frequently im- 
proved the leprous spots or their remaining traces, 
especially coppery, annular, elevated blotches in the 
face, coppery tubercles on the ears, also the callous 
ulcers of the feet, which arise from eroding vesica- 
tion." Hering. 

Bucnemia. Elephantiasis. Barbadoes leg. In this 
disease graph, "has more influence than most other 
remedies." Ibid. 

In vesicular erysipelas of the face, graphit. has been 
found very useful. 

Ledum has aided in removing pimples and blood- 
boils from the forehead and other parts. 

In a case of dry, scabby tetter of the face, with 
burning pain in the free air, and a burning and 
stretching sensation on moving the muscles of the 
face. Merc, had been previously used with advantage, 
and two doses of ledum 15 completed the cure. 

Lycopodium. E. c. A furfuraceous tetter, with 
plaiting of the skin about the mouth, which disap- 



166 ERUPTIONES CUTANEA. 

peared for four months after sulph. 3|30, but again 
returned, was permanently removed by lycop. 2|21. 

E. c. Tetter on the face, neck and calves of the 
legs, in a girl set. 9 ann. The patches mostly of the 
size of a dollar, with distinct margins, level with the 
skin, of a brownish yellow colour, but with points 
redder than natural, and scaly desquamation. After 
graphites these spots became redder, and at length 
formed matter; they also spread and not only itched 
as before, but produced burning, sticking pain; lycop. 
2|30. In three days, improvement. In three months, 
well. 

E. c. Tettery eruption on the legs; somewhat 
moist, with deep fissures; thick, straw-yellow crusts; 
severe burning pain, especially at night. 

Crusta lactea. Lycopod. has been recommended 
for this disease. 

Tinea capitis. Lycop. 1|30 cured a moist tinea 
capitis, and soreness about the genitals, and upon 
the thighs, in a child aged ten months. 

Lycop. has been found very useful in those cases 
where the whole of the back and parts of the front 
of the head are covered with thick crusts, from under 
which there is discharged, especially during the 
night, a lymphatic, bloody or puroloid matter; and 
there is tumefaction of the glands of the neck and 
throat, disagreeable odour of the head, pale, sickly 
countenance, the face spotted with small pustules, 
the ears involved in the eruption, and discharge of 
pus from the ears. 

Mercur. acet. 4 cured an eruption over the whole 
body, but worse on the arms; consisting of itching 
pustules, which burned severely after scratching. 

Mercur. E. c. In a child a^ed four months. 



ERUPTIONES CUTANEA. 167 

Eruption began on the head, and extended from 
thence over the whole body. Face covered with a 
dirty yellow crust, from under which a stinking 
moisture exuded. Intolerable itching. Eyes sur- 
rounded with scurf, red and weeping ; intolerance of 
light; small pustules on the conjunctiva. 

E. c. syphilitica. In a child who had received the 
syphilitic infection from its nurse. Skin covered in 
some places with pustules, in other places with tettery 
patches; the pustules while advancing were painful, 
and itched while drying up ; some were confluent, 
forming either dry spots with furfuraceous desqua- 
mation, or raw surfaces secreting an acrimonious 
fluid. When any of the patches cicatrised, a fresh 
eruption appeared in their vicinity. Face and scalp 
free from the disease. Itching in all the affected 
parts, increased in bed. The conjunctiva was red- 
dened, the lower eyelid swollen, with a yellow crust 
on its edge; the falling off of this crust exposed to 
view many small ulcerations. Merc, aided by mezer. 
effected a cure. 

Merc. gr. i. 8 cured an extensive tetter, in which a 
sensation of burning was excited on its being touched. 

Nux vomica. Urticaria. Nux v. is a valuable 
remedy in this form of cutaneous disease. For a 
case of febrile nettle rash, in which it was serviceable, 
see aconit. 

In a case where the febrile excitement was unim- 
portant, but nearly the whole skin was covered with 
large blotches of the eruption, attended with trouble- 
some itching; the face very red, but without the 
peculiar appearance of urticaria. Nux v. speedily 
subdued the disease. J. 

Oleander cured a red, raw tetter on the skin before 



168 ERUPTIONES CUTANEA. 

the ear, accompanied by a secretion of a fetid moisture 
behind the ear. 

Tinea capitis. The eruption affected only the 
hairy scalp, itched excessively, after scratching there 
was burning; sometimes the eruption was scaly, at 
other times moist. It appeared as if there was an 
effusion of serum under the whole scalp. Oleand. 
gtt. i. 3 effected a cure in a few days, though the 
disease had existed for many weeks. 

Petroleum has been employed with advantage in 
the treatment of itching tetter on the scrotum and 
perinseum. 

Phosphorus. In tetters on the neck and breast, 
consisting in light-brown, irregularly formed patches, 
which are slightly elevated, somewhat rough to the 
touch, and at times itching. 

Tinea capitis. Phosph. cured a case attended by 
dry desquamation. 

Pulsatilla. Erysipelas. Hartmann recommends 
pulsat. in erysipelas, when inflammation of the ex- 
ternal ear has taken place, and rhus has ceased to 
operate. Caspari found it useful in an erysipelatous 
inflammation of the foot. 

Hordeolum. Pulsat. has been recommended as 
useful in this disease. 

E. c. arising from indulgence in fat food. 

Zona. Pulsatilla is mentioned as one of the re- 
medies applicable to this disease. 

Rhus tox. Erysipelas, pustulosum, bullosum vel 
vesiculare. Rhus tox. is one of the most important 
remedies for this form of erysipelas, and will fre- 
quently, if not generally, remove it without the aid 
of any other remedy, and by a single dose. Some- 
times another remedy has been found necessary to 



ERUPTIONES CUTANEA. 169 

complete the cure. The other remedies which have 
been found most serviceable, are bellad., calcis sulph., 
graphit., carbo an. and cantharides. I shall adduce 
only one of the many cases of the beneficial operation 
of rhus in vesicular erysipelas, which are recorded 
by homoeopathic writers, as more would occupy space 
unnecessarily. 

A woman eet. 48 ami., of arthritic habit and choleric 
temperament, who had once before had an attack of 
vesicular erysipelas of the face, in the progress of 
which her life was considered to be in great danger, 
and the cure of which, by the common system of 
treatment, occupied eight weeks; was three years 
afterwards again severely attacked by the same dis- 
ease. Rhus gtt. i. 30 produced a slight aggravation ; 
but an improvement in some of the symptoms was 
perceptible in twelve hours. In forty-eight hours 
the disease was cured ; with the exception of a slight 
debility, which disappeared in a few days. 

Pemphigus chronicus affecting the face, neck and 
extremities. Large vesicles seated on an inflamed base, 
and containing a sero-puroloid fluid, which dried into 
thick, brown scabs or formed superficial ulcers. After 
healing, the cicatrices remained blood-red, shining, 
harsh like paper, scaly and insensible. 

Zona. Rhus has been recommended in this disease. 

E. c. In a boy set. 8 ann. who, when a month old, 
had been attacked w r ith a scurfy eruption of the scalp, 
and in whom the disease had advanced until the 
w T hole fore part of the head, the forehead, and right 
side of the face, were covered with a thick, moist 
crust, from beneath which there flowed an ichorous 
matter of intolerable odour. The crusts sometimes 
fell off, showing the raw, uneven and discoloured 



170 ERUPTIONES CUTANEA. 

skin, but they were soon reproduced. On the body 
and extremities the skin was raw and scaly, and in 
many places covered with crusts like the face. Severe 
biting itching in the affected parts, especially towards 
evening, at night, and when warm. Rhus gtt. i. 2 
left in four weeks but slight traces of the disease. In 
four months, in which time four doses were given, a 
perfect cure was effected. 

E. c. White vesicles, succeeded by thick, yellow 
crusts, beneath which a yellow, corrosive, burning 
pus caused great pain. Sores slowly drying up. 
The disease appearing every spring. 

E. c. in a boy set. 10 ann. Disease of several years' 
duration, diminished in the summer and increased in 
the autumn. The upper part of the thigh nearly 
covered with a scaly coating (crusts?) from under 
which a yellow, corrosive ichor was discharged. 
Sometimes the scales fell off, showing a raw, moist 
surface, covered with many small vesicles, which 
upon bursting discharged a yellow, corrosive fluid, 
that caused the same disease in the parts with which 
it came in contact. New scaly coating was soon re- 
produced. On the haunches, arms and back were 
groups of crowded vesicles. The affected parts itched 
excessively when warm, especially in bed. Swelling 
of the inguinal and axillary glands. Patient debili- 
tated and emaciated. Staphys. gtt. i. 30 produced an 
aggravation without much subsequent improvement. 
Clemat. erect, gtt. i. 6 effected a considerable diminu- 
tion of the disease, but after fourteen days the disease 
showed a disposition again to advance. Rhus gtt. i. 
9 with great improvement. After twenty-one days 
the affected parts were moistened with the following 
mixture. Tr. rims toxicod. gtt. i., aq. purse, gtt. c. 



ERUPTIONES CUTANEA. 171 

In twenty-one days more there was not a trace of the 
disease. 

Crusta serpiginosa. Rhus has been found useful in 
this disease. 

Tinea capitis. Thick crusts over the whole scalp, 
from under which there flowed a greenish coloured 
pus. Severe itching at night. 

Sarsaparilla. Crusta serpiginosa. This disease, 
like crusta lactea, attacks young infants. It begins 
with a vesicular eruption on the cheeks, just in front 
of the ear, and over the parotid glands. The vesicles, 
which are seated on a red base, burst and discharge 
a considerable quantity of an acrimonious serous 
fluid, which irritates the adjoining skin and produces 
on it the same eruption. This fluid dries into small, 
superficial and dark coloured crusts which alternately 
fall off and are reproduced. The disease spreads 
itself over the w r hole face, and sometimes affects the 
eyelids, but never the eyes. It sometimes invades 
the hairy scalp and may attack the back, hips and 
extremities, and even retain possession of these parts 
when it has disappeared from the face. There is 
severe itching, and frequently great debility and 
emaciation. 

Sarsap. is a very valuable remedy in this disease, 
and has been recommended for those cases in which 
the child is very peevish and fretful ; when the erup- 
tion is seated on an extensive inflamed base, the 
crusts separate themselves from the skin on exposure 
to fresh air, and the tender new skin becomes fissured 
and chapped. 

The remedies mentioned as adapted to crusta lactea 
may also be useful in this disease. The following 
have also been found serviceable. Acid, phosph., calcis 



172 ERUPTIONES CUTANEA. 

carb., cicula vir., clematis erecta, conium, graphit., 
ledum, lycopod., sodce mur., sulphur. 

Sepia. E. c. Sepia cured an eruption resembling 
psora, and appearing over the whole body, but worst 
on the extremities, with severe itching in the evening. 

E. c. Tetter on the face and back of the hands 
which itched severely, especially in the evenings. 
There flowed from the chapped skin a yellowish 
lymph, which dried into crusts. Skin hard like 
parchment; ground and circumference of the tetter 
red. 

E. c. Sepia has been very serviceable in moist, 
itching, burning tetters ; in crusta lactea, and in tinea 
capitis humida, with ichorous discharge. It has also 
aided in the cure of some cases of psora. 

Elephantiasis. Lepra arab. Sepia proved a valu- 
able remedy, and was peculiarly advantageous in the 
cure of the ulcerations consequent on erosive vesi- 
cation. 

Prurigo pudendi. The labia swollen, inflamed and 
covered on the inside with small papulse or pustules, 
which secreted a puroloid fluid. The itching ex- 
cessive ; aconit. 30, and after twenty-four hours sepia 
3 1 30. In four days no trace of the disease. 

Staphijsagria. Tinea capitis. Moist eruption on 
the right side of the head, with indescribable, offensive 
odour. Pustules on the neck, swelling of the glands 
of the throat. 

Sulphur. Psora. In the treatment of psora, sulphur 
is one of the most important remedies. Given either 
in the lower or very high dilutions, it has cured this 
disease without the aid of any other remedy. But 
in many cases it has been insufficient to complete 
the cure, and therefore other remedies have been 



ERUPTIONES CUTANEA. 173 

required. Among those which have been found most 
useful as adjuvants of the sulphur, are carbo veg., 
sepia and tr. acris. Some cases are also recorded in 
which benefit appears to have been derived from 
lachesis. 

Herpes squamosus on the forehead, was cured by 
sulph. 3 in ten days. 

Herpes miliaris. Small vesicles containing a serous 
fluid, united in groups on an inflamed base. The 
groups, from the size of a dollar to that of the hand, 
formed separate circumscribed, irregular spots, be- 
tween which the skin was healthy. Eruption chiefly 
on the extremities. Burning, itching, and either 
moist or covered with thin white scales. 

Herpes crustaceus. (Impetigo of Willan.) On a 
circumscribed red base, small crowded vesicles, dis- 
charging a puroloid lymph, which dries into thick, 
yellowish-green crusts. These crusts frequently fall 
off, and new ones are reproduced on the moist, 
slightly elevated, bluish-red spots. Burning and 
itching, chiefly affecting the face. 

E. c. Sulphur 2 cured a dry furfuraceous tetter. 

E. c. A moist, itching tetter extending over the 
whole face, thickest over the nose and around the 
eyes, also here and there on the swollen eyelids, and 
attended by great intolerance of light, much weeping, 
itching and smarting of the eyes, and swelling of the 
glands of the neck, was cured by two doses of sulph. 
2, given at an interval of seven days. 

E. c. supervening vaccine disease. Eruption some- 
what resembling the vaccine vesicle, but assuming 
a tetter-like appearance. Sulph. 1|30 was very ser- 
viceable, and the child, who had been previously 
unhealthy, became quite well. 



174 ERUPTIONES CUTANEJE. 

E. c. Eruption in large wheals of small vesicles 
containing yellow pus, which dried away forming 
scurf. The wheals surrounded with a red space. 
Severe itching. Small, red, itching points on the 
fingers. 

E. c. Small tubercles of the size of poppy seeds 
on the extremities: on the superior extremities ex- 
tending from the wrists to the shoulders, attended 
with itching. 

Tinea capitis. Sulphur has proved serviceable 
both in moist and dry tinea capitis, but most in the 
latter. 

T. c. In an infant. Thick, bark-like, straw-yellow 
crusts on the upper part of the head ; a thick, yellow 
puroloid matter flowing from beneath them. Many 
separate, red pustules, with yellow tops, on the body. 
Nocturnal diarrhoea, with greenish stools, preceded 
by screaming and twisting. Restlessness, sleepless- 
ness, emaciation. The sulphur was administered both 
to the mother and infant. 

Crusta lactea. In a female child set. 2 ann. Dis- 
ease commenced when the child was six months old. 
The skin had been previously healthy. The eruption 
began on the body and extremities, and for the last 
three months has been extended over the whole face, 
so that the cheeks, forehead and eyelids were covered 
with the eruption, which consisted of small, white 
vesicles, that on breaking extended into each other 
and formed crusts. The itching, especially in the 
evening, was very severe. The skin was very sore 
for a considerable extent from the orifices of the nose. 
The eyes were glued together with matter in the 
mornings. Considerable opacity of the cornea in both 
eyes. Sulph. 3 was followed by great improvement. 



ERUPTIONES CUTANEA. 175 

After six weeks, sepia 30 was given, and in six weeks 
the child was well and cheerful. 

Rhagades. Sulphur has proved useful in chapping 
of the hands. 

Viola tricolor. Crusta lactea. This disease chiefly 
attacks infants between two and ten months old. It 
commonly appears first on the cheeks and around the 
mouth. The affected parts become hot, red, tense, 
swollen and glossy. The child is restless, and rubs 
the affected parts against every object which it can 
reach. The eruption consists of small pustules of the 
size of a pin's head, which are filled with a thin, 
transparent yellowish, lymph. These soon burst, and 
the effused fluid forms thick, yellowish-brown crusts. 
Under these a puroloid secretion continues itself. 
New pustules arise and become confluent with the 
old. When the disease extends to the forehead it 
sometimes induces inflammation of the eyes, with 
opacity of the cornea and swelling of the eyelids, or 
complete psorophthalmia. During desiccation the 
urine is cloudy and has the odour of cat's urine. 
Viola tricol. is one of the most valuable remedies in 
the treatment of this disease, but others may be de- 
manded. The following have been useful. Arsen., 
aurum., carb. veg., calcis sulphuret, dulcam., lycopod., 
rhus, staphiys., sulph., tr. acris. 

Vinca minor, gtt. i. cured a chronic, moist, strongly 
smelling eruption on the head, in the face, and behind 
the ears. 

Plica polonica. In one case, tr. vine. min. gtt. i., 
every eight days a dose, cured this disease. In 
another case vine. 28 proved itself useful. 

Zincum cured tettery, raw, itching spots on the 
hands, with bleeding of the gums. 



176 EYE AND VISION. 

EYE AND VISION. 

The diseases of the eye, and the defects of vision, 
of which I shall treat in the present work, will be 
included under the following heads, and in the order 
in which they are here mentioned : viz. ophthal- 
modynia, ophthalmia, leucoma, fungus haematodes 
oculi, cataracta, amblyopia and amaurosis. 

OPHTHALMODYNIA. 

Severe pain in the eye frequently occurs without 
any apparent inflammation; is sometimes increased 
by light, as in ophthalmia, and sometimes recurs 
periodically. Where it is connected with an in- 
tolerance of light, conium, ignatia and spigelia are 
the best remedies. In a case, in which periodic 
ophthalmodynia of the left eye was the consequence 
of too great exertion of the eyes in reading and 
writing, the paroxysms commencing every day at 
six o'clock in the morning, and terminating about 
noon; the pain sticking and boring, increased by 
moving or opening the eyes, and after a time extend- 
ing to the top of the head; pupils contracted; eyes 
glassy and dull; bright spots before the eyes; the 
upper eyelid dependent, as if paralysed; spigelia 30, 
given soon after the conclusion of a paroxysm, was 
followed, after a few minutes, by a renewal of the 
pains, but not in their greatest severity, which en- 
dured only for twelve minutes, when she fell into a 
quiet and refreshing sleep, from which she awakened 
very much refreshed. After the preceding paroxysms 
she had been unable to sleep. The next day the 



OPHTHALMIA. 177 

paroxysm commenced an hour later, was incom- 
parably lighter, ceased earlier, and left much less 
debility. On the third morning it was quite unim- 
portant, and in a few days every trace of the disease 
had vanished. 

OPHTHALMIA. 

Acid, nitric, is frequently useful in syphilitic oph- 
thalmia from metastasis. 

Acid, sulph. can sometimes be advantageously 
employed in chronic ophthalmia. 

Aconit. has been highly recommended by Dr. 
Stapf in ophthalmia which has been occasioned by 
the irritation of foreign bodies in the eye, the cause 
of the inflammation being carefully removed. Even 
when the inflammation thus originated has continued 
for some time, and has become modified by the 
morbid condition of the system, he often prefers first 
administering the aconit., and then following it by 
the remedy which is the best adapted to correct the 
constitutional disorder. Where there is a morbid 
condition of the system, which has supervened on 
psoral disease, he recommends sulphur, and where 
there is the scrofulous diathesis, calcis carb. 

Arnica proved beneficial in a case of ophthalmia 
arising from contusion. 

Arsenicum. Case in a girl set. 14 ann. Disease of 
two days' duration. The conjunctiva appeared as if 
sprinkled with blood. The pain was burning, and 
so severe that the patient could neither sleep nor eat. 
There was violent fever and great thirst. Arsen. 24 
was given at four o'clock in the afternoon, and by 
12 



178 EYE AND VISION. 

the next morning the disease had entirely disap- 
peared, and the patient remained well. 

Case. In a girl set. 10 ann. She had suffered 
under a scrofulous ophthalmia of the right eye 
for more than four years, and had been treated 
with leeches, vesicatories and other derivatives, eye- 
waters, ointments, &c. without benefit. For six 
months all treatment had been discontinued, but 
there was no improvement. 

The eye almost always closed; the edges of the 
lids somewhat reddened, the upper lid somewhat 
swollen and dependent. It was impossible to ex- 
amine the condition of the eye closely, for upon 
attempting, with every precaution, to open the lids, 
there was severe sticking pain and a gush of tears. Of 
the eye nothing was to be seen during the momentary 
separation of the lids but a red, uneven, fungoid mass. 
The child had, according to the statement of the 
mother, been unable to see with that eye for three 
years. The pains were severe, burning, sticking or 
cutting, accompanied by great intolerance of light, 
aggravated upon exertion of the sound eye, especially 
in the evening. Nov. 23d, 1830, arsenicum 2|30. 
From the third day the intolerance of light gradually 
abated, and by the eighth day she could open the eye 
in the clear daylight. The eye presented then the 
following appearances. The conjunctiva, and per- 
haps the external layer of the sclerotica, completely 
degenerated, and consisting of loose, raw flesh, similar 
to very red cellular membrane, in which were the 
enlarged blood-vessels proceding from the centre of 
the cornea ; the border of the cornea was set with deep 
little ulcers, and the lamella? of the cornea appeared 
to be separated by an infiltration of purulent fluid : 



OPHTHALMIA. 179 

here and there on the cornea whitish gray cicatrices 
of old ulcers, besides two open ulcers. The cornea 
so perfectly opaque that not the slightest trace of iris 
or pupil could be seen through it. No more medicine 
was given till the 19th of January, 1831, by which 
time the improvement had so far progressed that she 
could read large print with the right eye, though 
there was still a slight opacity of the cornea. Crocus 
9, then given, was followed by rapid improvement. 
But for fresh inflammation from taking cold, bellad. 
was administered on the 30th Jan., which effected a 
speedy removal of the inflammation. On the 25th 
Feb. tr. euphras. undilut. 2|0, which produced a 
rapid improvement. By March 11th there were only 
two or three small specks on the cornea, and these 
not in the axis of vision. For improvement of general 
health and prevention of relapse acid, nit., spt. sulph., 
petroleum and silex were given, and she remained 
perfectly healthy. 

Case. In a girl set. 6 ann. who was subject to 
ophthalmia on the slightest exposure. Vessels of the 
conjunctiva dilated ; on the cornea the cicatrices of old, 
and some fresh open ulcers; pains, smarting, stick- 
ing and burning; intolerance of light; gushes of tears 
so acrimonious as to make the cheeks sore. Eyelids 
swollen, edges reddened, cilia adhering together with 
matter. Arsenic, effected a perfect cure in ten days. 

Case. In a woman. Severe sticking, followed 
by burning pain upon every movement of the eye. 
Intolerance of light. Antiphlogistics, &c. had proved 
of no service. Bellad. did not alter the disease. 
Arsenic, cured it in a few days. 

Bellad. has been highly recommended in catarrhal, 
rheumatic, arthritic and scrofulous ophthalmia. 

12* 



180 EYE AND VISION. 

Case. In a man set. 38 ann. From exposure to 
a draught of air. At first tearing and drawing pain 
over the right eye. Then, sticking, burning and 
pressing pain in the right eye, with intolerance of 
light, contracted pupil. Flow of acrimonious tears. 
Itching of the eyelids. Bellad. gtt. i. 30 effected a cure. 

Case. Scrofulous inflammation of the eye in a 
girl set. 3 ann. Eyes slightly reddened. Some of 
the vessels of the conjunctiva much distended. Two 
small superficial ulcers on the left cornea, and one on 
the right. Great intolerance of light and flow of tears. 
Bellad. gtt. i. 6 was followed by such improvement 
that in six days the redness and ulceration had disap- 
peared. Some intolerance of light remained, which 
was removed by ignatia. 

Case. In a woman est 52 ann. Pain in the fore- 
head. Distension of the vessels of the conjunctiva. 
Dilated pupils. Intolerance of light. Heat and 
tickling sensation in the eyes. Fever. Rapid pulse. 
Little sleep, owing to the pain in the eyes; and 
dreams upon falling asleep. Bellad. 30 was followed 
by increase of the headache for four hours, but after- 
wards by such improvement that the patient slept 
uninterruptedly for six hours on the following night. 
The disease continued afterwards to decline gradually, 
until it entirely disappeared. 

Calcis carb. This is a very valuable remedy in 
scrofulous ophthalmia. An instance of its beneficial 
operation is mentioned under fungus heematodes oculi. 

Chamomil has been recommended as a useful 
remedy in ophthalmia, accompanying catarrhal fever. 

" Ophthalmia neonatarum." A case is recorded of 
the cure of purulent ophthalmia in a very young in- 
fant. There was swelling and redness of the eyelids, 



OPHTHALMIA. 181 

with copious mucous secretion, so that they could 
scarcely be opened. The eyes very much inflamed. 
The cham. was employed in the dose of 2|12. 

Cinchona. Ophthalmia, with periodic exacerba- 
tions. In a girl of scrofulous habit, subject to ophthal- 
mia. Eyes painful, weeping, and sensitive to strong 
light. Sensation as if there was sand under the lids. 
Conjunctiva slightly reddened. Inward pressing pain 
in the eyes and lids. Exacerbations at eleven o'clock 
at night. Cinchona gtt. i 12 produced an aggrava- 
tion of the succeeding paroxysm. The next day the 
eyes were well, and there was no subsequent return 
of the disease. 

Colocynth. in repeated doses, effected, in the course 
of eight days, the cure of an arthritic ophthalmia, in 
which there was burning and cutting pain in the 
right eye; copious discharge of acrimonious fluid 
from both eyes, and constant violent cephalalgia, 
with determination of blood to the head. 

Conium is a valuable remedy in scrofulous oph- 
thalmia. It is also recommended where there is 
great intolerance of light, either without any or with 
very slight apparent inflammation of the eyes. 

Digitalis has been recommended in catarrhal oph- 
thalmia. 

Euphrasia. Case in a child aged six months. 
Eyelids swollen and adherent; eyes inflamed; dis- 
charge of bloody mucus from the eyes. 

Other instances, in which euphrasia has been ad- 
vantageously employed, may be seen in cases under 
the following remedies; arsen., mere, spigelia. 

Graphit. has proved useful in scrofulous ophthalmia. 

Mercur. cured an ophthalmia, with ulceration of 
cornea, surrounded with an extensive opaque margin. 



182 EYE AND VISION. 

It also cured an acute ophthalmia, with burning, 
smarting pain, worse in the open air, and a sensation 
as if there was a foreign body beneath the lids. The 
disease affected all the members of a family. 

Case. In a boy set. 7 ann. who had scrofulous 
enlargement of the glands in the neck. The con- 
junctiva of the right eye reddened in spots, with 
burning pain and some intolerance of light, The 
tarsi reddened, and a thick, honey-yellow- scurf on 
the lower tarsus; slight adhesion in the mornings, 
with some slimy matter in the angles. Distended 
vessels passing from the external canthus towards the 
cornea. Mercurius gr. i. 9 produced a gradual im- 
provement for several days. On the seventh day, a 
relapse, from taking cold. Tinct. euphrasia gtt. ss. 
brought temporary improvement, which was suc- 
ceeded by a relapse, probably from cold, and the 
formation of a hordeolum. Digitalis gtt. i. 15. On 
the second day, the pain, hordeolum and morning 
adhesion had disappeared. Dulcamara gtt. i. 12. In 
five days the eruptive crust on the tarsus had entirely 
disappeared. No return of the disease at the end of 
six months. 

Magnesia. Case. Redness of the conjunctiva, 
with distension of the vessels ; heat and burning in 
the eyes; lids swollen and red; the Meibomian glands 
secreted much slime, so that the lids adhered in the 
mornings and required frequent wiping; great in- 
tolerance of light. Tumefaction of the nose, upper 
lip and glands of the neck; the openings of the nose 
full of scurf. After a great length of time in the 
treatment, in which pulsat, bellad., bryon., mercur., 
aur. fol., rhus, ignatia, sulphur, carbo veg., graphit., 
calcis carb., phosph. and soda had been employed, 



OPHTHALMIA. 183 

and the intolerance of light had almost ceased from 
opacity of the cornea, magnesia 3|24, without produ- 
cing any obvious homoeopathic aggravation, caused a 
great improvement and considerable advance towards 
transparency of the cornea. In about six weeks 
afterwards acid. nit. 3|30 was given, and produced a 
perfect cure, with restoration of the transparency of 
the cornea. 

Nux vom. has been recommended for catarrhal 
ophthalmia. 

Pulsatilla has proved useful in ophthalmia, at- 
tended by much weeping and mucous secretion from 
the Meibomian glands. 

Rhus cured an ophthalmia, attended with extensive 
oedema of the eyelids and face. 

Sepia has proved useful in scrofulous ophthalmia. 
Case. Chronic ophthalmia, in a child set. 4 ann. 
Ophthalmia, with vesicles on the eye, which suppu- 
rated, opened of themselves, and left afterwards a 
clouded spot. Great intolerance of light. Eyelids 
became adherent in the night. Severe pain in the 
eyes. After sepia 1|30 the inflammation disappeared, 
yet silex 1|30 was afterwards exhibited for the com- 
pletion of the cure. 

Spigelia has been recommended for arthritic and 
rheumatic ophthalmia. 

The following case is styled one of rheumatic 
ophthalmia, by Dr. Rummel who reports it. 

Ophthalmia of fourteen days' duration. The right 
eye was strongly reddened, the vessels of the sclerotica 
much distended and of a bluish red, and the cornea 
so clouded, especially in its lower segment, that the 
form of the pupil could not be clearly discerned, and 
every object appeared to the patient to be involved in 



184 EYE AND VISION. 

a mist. Severe pain of the eye, especially on moving 
it. A feeling of heavy pressure, which extended 
itself to the bony parts of the orbit, especially towards 
the temple. Eye not very sensitive to the light, appa- 
rently because the rays cannot pass readily to the 
retina through the opaque cornea. Sulphur 1|2. In 
twenty -four hours no change ; then spigelia gtt. i. 30 
which was followed by great improvement. After 
forty-eight hours spigelia 2|30 was given. The eye 
next day was free from pain, but an ecchymosis 
had formed in the internal angle j the opacity of the 
cornea as great as ever. Tinct. euphrasia undilut. 
gtt. i. In forty-eight hours the opacity was entirely 
removed. This case, previously, had been treated, in 
other similar but less violent attacks, with leeches, 
blisters, mercurials, derivatives, &c, and had gene- 
rally required three or four weeks for its cure. 

Sulphur. Case in a man of robust constitution, 
who had been subject, for a long time, to frequently 
recurring, slight ophthalmia, which, until the last 
attack, had always disappeared of itself. On the last 
attack, therefore, the patient at first paid but little 
attention to it for many days, but as it gradually 
became worse, he called in a physician, who found, 
on examination, a considerable ulcer on the cornea. 
After the inflammation had been abated by local ap- 
plications, the ulcer was moistened several times a 
day with the tincture of opium, and began, under 
this treatment, to cicatrise slowly. But after taking 
cold, the eye was seized with a violent inflammation. 
Leeches, local applications, and purgatives, contain- 
ing calomel, were freely employed. Speedy, but 
temporary relief followed the use of the leeches, and 
the inflammation remained unabated. Under these 



OPHTHALMIA. 185 

circumstances, the attending physician called Dr. 
Gross to see the case. He found the left eye appa- 
rently larger than in its healthy state, and its cover- 
ings extraordinarily tumefied. The albuginea was 
blood red from the distension of its vessels. The 
cornea was clouded as if covered with fine dust, and 
the ulcer, which had once been nearly cicatrised, was 
considerably more extensive and deeper. Most violent 
pressing pain in the eyes, which was excessively ag- 
gravated by motion of the eyelids and by light. The 
pain then extended itself through the whole head, 
where it also became excessively severe. Sulphur 
gr. i. 2 was given towards evening, and "the result 
was favourable beyond expectation. Early in the 
morning of the following day we visited our patient 
again, and found, to our astonishment, no trace of the 
previous inflammation. He had laid down to sleep 
at his usual time, and not once through the night 
had his rest been disturbed, while the preceding 
night had been passed almost without sleep, and 
under tormenting pain. He awoke in the morning 
strengthened and refreshed, was surprised that not a 
sensation of yesterday's pain remained, and scarcely 
believed his own perception, when, on looking in a 
mirror, he found the diseased eye similar to the 
healthy. He saw and felt himself perfectly recovered, 
as if through a miracle. Only the presence of the 
ulcer on the cornea betrayed the preceding morbid 
condition; but this had already assumed a more fa- 
vourable appearance, and cicatrised in a few days 
afterwards. With this last ophthalmia disappeared 
at the same time all the earlier disposition to this form 
of disease." 

Scrofulous ophthalmia in a girl set. 17 ami. The 



186 EYE AND VISION. 

edges of the eyelids were tumid and ulcerated, the 
cornea deformed with spots, and, independently of 
these, the vision was so clouded that the patient could 
not see small objects, and large ones appeared en- 
veloped in smoke and mist. The general health was 
also considerably impaired. Sulphur, calcis carb., 
silex, phosphor, and lycopodium were given in suc- 
cession without any apparent result, except that after 
the sulphur, there appeared to be for three days some 
trifling amendment. "This observation led me again, 
after thirty weeks of ineffectual treatment, to the em- 
ployment of sulphur. My patient now took tinctura 
sulphuris 1|30 twice a week. After the eighth dose, 
there was a perceptible aggravation of the disease 
which forbade a continued employment of the remedy. 
Now appeared many other new affections; among 
others, pustular eruptions, warts, yellow spots on the 
skin, tetter-like scurf, here and there on the body, 
pains in different parts, restless sleep, &c. These 
continued for about eight days after the discontinu- 
ance of the remedy, when a positive improvement 
appeared; the new affections diminished first, and 
afterwards the original disorders, which were so 
completely conquered in the space of six weeks, that 
I could pronounce the patient perfectly healthy. The 
eyes were without spots, and the vision perfectly 
restored, so that the patient ventured, against my 
will, to try fine embroidery, which she could never 
before accomplish. But no bad consequence ensued, 
and she afterwards remained well." Dr. Julius 
Aegidi. 



LEUCOMA. FUNGUS HjEMATODES. 187 



LEUCOMA. 

Opacity of the cornea, with existing inflammation 
of the eye, is best treated by the remedies which are 
calculated to subdue the ophthalmia. For a leucoma 
which remains after the removal of the inflammation, 
euphrasia and cannabis appear to stand highest in 
the estimation of homoeopathic physicians. 

FUNGUS ILEMATODES OCULI. 

The following case is reported in the seventh 
volume of the Archiv fur die homoeopathische Heil- 
kunst, by Dr. Ernst Stapf, the able editor of that 
work. 

A girl set. 10 ann. who had suffered from her in- 
fancy under painful tumefactions of the sub-maxillary 
glands, and other scrofulous affections, was attacked 
in the beginning of May 1827 with an ophthalmia, 
which very speedily produced a considerable opacity 
of the cornea of the left eye. Physicians and a cele- 
brated oculist were consulted, and leeches, purgatives, 
derivatives, eye-waters and eye ointments of different 
kinds, w T ere employed, and the directions of the phy- 
sicians were followed with the greatest accuracy. 
But in the course of a four months' treatment the 
disease had continually advanced. "On the second 
of September she was placed under my care. I saw 
the girl then for the first time, and learned the cir- 
cumstances which have just been narrated, from her 
very intelligent mother, and found upon investiga- 
tion the following form of disease. The left eye 
was but slightly inflamed, yet the cornea was much 
clouded, the pupil was elliptic, the vision very much 



188 EYE AND VISION. 

weakened; she saw every thing as through a thick 
mist and with indistinct outlines. The right eye, on the 
contrary, was in the highest degree inflamed; the 
eyelids swollen, red and ulcerated ; a thin, acrimonious, 
puroloid matter, which corroded the cheeks, together 
with tears, flowed constantly from the angles of the 
eyes. There was great intolerance of light, the 
slightest ray of which increased the severe burning, 
sticking and boring pains in the interior of the eye. 
The eye-lids were firmly closed, often matted together, 
and itched and burned painfully. She required the 
eye to be constantly covered, and when with great 
exertion she opened it for a few moments in the twi- 
light she asserted that she could distinguish nothing; 
every thing flowed chaotically together, like dark 
clouds. A momentary view (which was all that could 
be obtained, from the closure of the lids on account 
of the severe intolerance of light) showed the eye 
chemotically reddened, and the cornea covered with 
ulcers and spots. The general health of the child was 
impaired. The body was considerably emaciated; 
the face bloated and pale; the appetite diminished; 
bowels irregular, at one time constipation, at another 
diarrhoea; the urine whitish; sleep restless, inter- 
rupted, full of dreams; the glands tumid and painful; 
the disposition depressed, peevish, irritable." As all 
medicinal applications had already been discontinued 
for some days, bellad. 1|30 was given, on the second 
of September, and by the ninth the inflammation 
and intolerance of light had so far abated as to admit 
of an examination of the eye in the twilight. The 
albuginea was very red, and there were ulcers on 
the cornea, on the lower segment of which, "a pecu- 
liar, dark-red, tumid spot appeared, which upon close 



FUNGUS HjEMATODES oculi. 189 

examination showed itself, beyond the possibility of 
mistake, to be the basis of a fungus hsematodes cor- 
nese, which rising from the cornea extended through 
the aqueous humour to the iris and almost filled the 
lower half of the anterior chamber of the eye. The 
left eye was as above described. On the ninth of 
September, calcis carb. 3|12 was given, and produced 
an aggravation of most of the symptoms until the 
fourteenth, when improvement commenced and con- 
tinued progresive to the twenty-fourth of October, at 
which time the cloudiness and spots of the cornea of 
the left eye had diminished, and the vision had in- 
creased. The lids of the right eye were but slightly 
inflamed, and the inflammation of the eye had mostly 
vanished. The ulcers were smaller and cleaner. 
The fungus was not of so deep a red, and had dimi- 
nished in size. Lycopodiam 2|12 was now given, and 
was followed for the first few days by such an aggra- 
vation that a relapse was apprehended. But by the 
fifteenth of November, this had given place to evident 
improvement, and by the tenth of December, the 
intolerance of light was trivial, the vision much 
improved, and the fungus of a pale red, and much 
smaller. Sepia 1|30 was then given, and by the 
thirteenth of January 1838 there had been a consi- 
derable advance of the improvement, and the fungus 
was much reduced in size and almost perfectly pale. 
Silex 1|12 was then given, and by the end of February, 
the glandular swellings were much diminished, (for 
eight days after taking the silex there had been 
increased pain and tumefaction in the glands,) the 
cornea was cleaner and clearer, and the fungus had 
nearly disappeared, so that the child could see clearly, 
and could even read, which however was not per- 



190 EYE AND VISION. 

mitted by the physician. The cornea of the left eye 
was entirely clear and bright. The improvement 
continued progressive till the middle of April, at 
which time both eyes were perfectly clear excepting 
a leucomatose cloudiness of the spot which had been 
the basis of the fungus. On the twentieth of this 
month calcis carb. 2|18 was given. It was followed 
by increased sensibility and weeping of the eye and 
painless swelling of the sub-maxillary glands. These 
appearances gave place after a few days to improve- 
ment, and by the middle of June the glandular swell- 
ings had nearly disappeared, the leucomatose spot 
was almost imperceptible, and did not impair the 
vision in the least degree, both eyes were clear and 
bright, and the previously sickly and scrofulous child 
was a picture of health. 

The following case is reported by Dr. Muhlenbein, 
in the same volume. 

A girl set. 5 ann. complained of sticking pain in 
the left eye, dimness of sight, intolerance of light, at 
times, stitches in the head, more on the left side, also 
severe pain in the right leg and hip, so that her 
walking was interrupted ; she was frequently feverish. 
The appetite was weak, bowels irregular, the urine 
frequently dark, the sleep often restless. In the first 
days of the disease, the child screamed on account of 
the severe pain in the left eye. Then a red point 
developed itself deep in the interior of the left eye. 
There was a constant and copious flow of tears from 
the eye; the albuginea was most reddened on the 
side towards the nose; the pupils were dilated, the 
vision of the left eye entirely lost; the iris was 
permeated by enlarged blood-vessels, and had thus 
become of a dark brown colour. The patient was 



CATARACTA. 191 

seen by several physicians, who pronounced it a 
fungus hsematodes of the eye. A good and experi- 
enced surgeon, who saw the child, confirmed this 
judgment, and stated that he had met, in his own 
practice, with five cases of the disease, and that all 
had terminated fatally, whether extirpation of the eye 
had been performed or not. Bellad. gtt. i. 26 was 
given, at intervals of a week, until four doses were 
taken. Then nux vom. gtt. i. 30, three doses in 
eleven days. Afterwards bellad. gtt. i. 30 was given 
at various intervals for nearly a year. During this 
time there had been a gradual abatement of the dis- 
ease; nux vom. gtt. i. 30 was then given. The child 
could then see the light, and objects moving before it, 
without being able to distinguish them with the 
diseased eye. It was sent to school, but sometimes 
whilst reading there was a return of the sticking 
pain in the diseased eye. Afterwards euphrasia gtt. i. 
Then bellad., many times repeated; then aconit. ; then 
cinchona for an intermittent fever. The treatment 
occupied more than three years, the fungus had di- 
minished to a point, but full vision was not restored 
to the eye. The child became remarkably healthy. 

CATARACTA. 

Conium has been recommended for cataracts which 
arise from contusion of the eye. 

Magnesia carb. 30 and tr. cannabis, in alternation, 
at intervals of eight days, and in drop doses, pro- 
duced evident improvement in "cataracta capsulo- 
lenticularis" of both eyes. 

Phosphorus. In a case where inflammation of the 
eye had been induced by a fragment of flint which 



192 EYE AND VISION. 

flew into the eye whilst striking a light. The re- 
moval of the flint was followed by ease for some 
hours, when there was a return of the ophthalmia 
which resisted the usual antiphlogistic means for ten 
weeks, and produced such opacity of the cornea that 
the iris was invisible. In thirty days, under the use 
of crocus, bellad., nux vom., euphrasia, spigelia and 
calcis carb., the leucoma had so far diminished that 
the lens could be seen, presenting a colour very 
similar to that of a " cataracta glaucomatosa." About 
this time, from change of the weather and other 
causes, there was an increase of the ophthalmia. 
Phosphor. 30 was followed by speedy relief of the 
pain, more normal appearance of the lens, diminution 
of the opacity of the cornea, of the intolerance of 
light, and of the dilatation of the pupil. After the 
period of the operation of phosphorus had passed 
over, silex 3|30 was given, and in a short time every 
innormal appearance, except a small spot on the 
cornea, where it had been punctured by the flint, 
was gone. 

Pulsatilla. Cataract of a light gray colour, of six 
months' duration. Ophthalmia of many years' stand- 
ing, with inversion of the few remaining eyelashes of 
the upper lid, and much weeping. She could dis- 
tinguish large objects at the distance of four steps. 
Removal of the inverted cilia produced a temporary 
abatement of the inflammation, but in a few days it 
again returned, when pulsat. gtt. i. 3 was given, and 
by the seventh day there was only a gray spot in the 
middle of the lens, and the patient saw every thing 
as if enveloped in a light mist. Tr. cannabis gtt. i. 
produced still farther improvement, and opium gtt. i. 



AMBLYOPIA. 193 

6 completed the cure; the lens having become per- 
fectly clear and transparent. 

Sulphur. Case. Incipient cataract and amaurosis. 
A man set. 20 had psora which was cured by external 
applications. He some time afterwards felt at times a 
tearing pain in the left eye and a slight itching of 
the skin. Eighteen months after he had psora, on 
closing the right eye to ascertain the visual power of 
the left, he was alarmed to find that he was entirely 
blind of this eye. On examination : the pupil of the 
left eye was dilated and immovable, and there was a 
slight opacity in the middle of the lens. The eye- 
lids and conjunctiva were somewhat reddened. The 
vision was almost entirely lost; only when the hand 
was held close before the eye he could dimly and in- 
distinctly distinguish the fingers. After sulphur 2|6 
an eruption occurred on the face and arms; and at 
the same time there was an improvement of the vision. 
The sulphur was repeated at various intervals for 
nearly two months, when the skin was clean, the 
eyes clear and bright, and the vision restored. 

In the case of a woman set. 60 ann. ; sulphur 30 
followed in two weeks by tr. acris cured a "tolerably 
far advanced cataract." 



AMBLYOPIA. 
Depraved vision. 

Diplopia. Double vision. In a man set. 30 ann. 
of robust constitution and otherwise healthy. The 
complaint of four weeks' duration. In the clear day- 
light he saw every thing as if through a mist, and 
objects frequently appeared doubled. Dark spots 
frequently floated before the right eye. In the morn- 
13 



194 EYE AND VISION. 

ing and evening twilight, he could see nothing with 
the right eye, which exhibited no other abnormal 
appearance than that it was duller than the left, and 
its pupil constantly somewhat dilated. Bellad. gtt. i. 
15 effected considerable improvement in the course 
of twelve days. At the expiration of this time, pulsat. 
gtt. i. 12 was given, and at the end of eight days 
there was no trace of the disease. 

In a woman eet. 52 ann. The disease, which was 
of between three and four years' duration, had com- 
menced at the period of the cessation of menstruation. 
Sometimes double vision, and a play of colours and 
mistiness before the eyes, in which were sticking 
pains. Great dimness of sight. In a dull light there 
was slow but very great dilatation of the pupils. 
Bellad. 2|30, repeated after seven days, restored her 
sight in the course of two weeks. 

In a case of double vision, where, in attempting 
to read, the letters appeared to turn, and had an 
iridescent halo around them, a similar halo appearing 
around the flame of a candle. Intolerance of light; 
sometimes burning in the eyes ; dilated pupils ; pain 
in the forehead immediately over the orbits. Cicuta 
effected a cure. 

Dr. Schubert states that repeated experience has 
taught him that the hyosciamus nig. is a valuable 
remedy in double vision and strabismus. He con- 
siders the latter affection to be a consequence of the 
diplopia. 

Marmaryge. Bright coruscations before the eyes. 
In a case complicated with dyspepsia. On closing 
the eyes, an appearance of sparks of fire before the 
eyes. The pupils were dilated. The patient saw 
every thing as if through a thick mist The flame of 



AMAUROSIS. 195 

a candle appeared very large, and surrounded by a 
bluish red halo. Belladonna removed most of the 
symptoms, and the cure was completed with nux 
vom. 

In a man set. 50 ann. Appearance of fiery circles 
and balls before the eyes, with almost complete blind- 
ness of the left, and diminished vision of the right 
eye; copious flow of tears from both eyes. The 
cornea of the left eye was dull and clouded, and the 
pupil of a whitish gray. The disorder of vision had 
been preceded by inflammation of the eyes. Pulsat. 
3 effected great improvement in the course of ten 
days. Euphrasia gtt. i. completed the cure. 

In a case where this symptom (marmaryge) was 
present, spigelia effected a cure. See ophthalmodynia. 

AMAUROSIS. 

Belladonna has been recommended for incipient 
amaurosis, especially where the disease appears sud- 
denly, or after inflammation of the eyes; and the 
patients still see objects, but always as if enveloped 
in a dark mist, and, at the same time, black or many 
coloured points or spots float before the eyes. 

Cinchona. In the case of a man set. 50 ann., who 
was an intemperate brandy drinker. At the distance 
of a few steps he could perceive only the outlines of 
objects. A printed page appeared to him as a black 
surface with white borders. Pupils dilated; very 
little contraction produced by sudden and strong 
light. The interior of the eye appeared smoky. He 
saw somewhat better in the morning than some hours 
later. Complicated with debility, dyspepsia and dis- 
turbed sleep. Tr. cinch, gtt. i. 1, repeated after two 

13* 



196 EYE AND VISION. 

weeks in the dose of gtt. i. 2, effected, in four weeks, 
a perfect cure.' 

Merc. Incipient amaurosis. In a woman set. 30 
ann. Dimness of sight; pain in the eyes; intolerance 
of light; temporary blindness. Almost constantly 
before the right, and sometimes before the left eye, 
black spots, like flies moving about. Sometimes a 
cloud before the eyes. Constant weeping. Merc, 
gr. i. 12 effected, in two weeks, a removal of the 
whole disease, with the exception of the troublesome 
flow of tears, which yielded in a short time to tr. 
euphrasia gtt. i. The disease had been advancing 
for a year. 

Phosphorus. Incipient amaurosis. In a boy set. 
9 ann. Almost perfect inability to read, even when 
a book was held close to the eyes, in clear daylight, 
and as little ability to distinguish other objects. Im- 
provement commenced within a few days after the 
administration of phosphorus 10, and continued pro- 
gressive until vision was perfectly restored. 

Ruta. Incipient amaurosis. In a linen-weaver 
set. 29 ann. Diminished power of vision. He could 
see the threads in the web but indistinctly, and could 
no longer read. In viewing near objects there was a 
mistiness before the eyes, which thickened into a 
perfect cloudiness when he endeavoured to look at 
more remote objects. The disease had been severe 
for only a week. Tr. ruta gtt. i. was given, and im- 
provement soon took place. In the course of sixteen 
days the vision was perfectly restored. 

Sulphur. Incipient amaurosis. In a woman set. 
48 ann. The disease had commenced with severe 
tearing pain in the left forehead. Afterwards it ap- 
peared to her as if small fibres depended from the 



AMAUROSIS. 197 

upper eyelids. At a still later period the eyes had 
become painful and constantly clouded, and she was 
only able to distinguish large objects. The con- 
junctiva was slightly reddened. In ten days after 
tr. sulphur gtt. i., the disease was almost entirely 
removed. 

A case of almost perfect amaurosis of one eye, com- 
plicated with incipient cataract, was cured by re- 
peated doses of sulphur. See Cataract. 

In that form of amaurosis in which the blindness 
appears every evening, continues throughout the 
night, and disappears in the morning, and to which 
the name of hemeralopia has been applied, bettad., 
hyosc, pulsat., and verat. have been found useful. 

Four cases are recorded, in each of which a single 
dose of belladonna perfectly removed the disease. It 
was employed in the third, sixth and ninth dilutions; 
the sixth being used in two of the cases. The follow- 
ing symptoms were present. In the daytime, even 
when it was cloudy, perfectly good vision. After 
sunset, almost perfect blindness; and the flame of a 
candle appeared only like an irised circle. All the 
other functions normal. 

The pulsatilla was useful in a case where there 
was deficient menstruation, and the hemeralopia was 
accompanied by a sensation as if the eyes were firmly 
bound by a handkerchief. 

The veratrum was useful in the case of a boy set. 
10 ann. The hemeralopia was combined with diar- 
rhoea, which was troublesome at night. Many other 
remedies had been previously employed without 
success. 



198 EYELIDS. 



EYELIDS. 



Paralytic weakness and consequent hanging down 
of the upper lids. Sepia, spigelia, veratrum, zincum. 

Spasmodic closure of the eyelids. Hyosciamus, 
chamomilla. 

Painful cramp of the eyelids, worse at night. 
Crocus. 

Psorophthalmia. Arsenicum, belladonna, bryonia, 
dulcamara, spigelia, staphysagria, sulphur. 

Hordeolum. Pulsatilla. 

Staphysagria is useful where there are tubercles 
on the margins of the eyelids, and an inflammatory 
condition of the Meibomian glands, which causes 
adhesion of the lids at night. 



FEBRIS. 

Fevers will be here treated under two heads. 
Under the first, the continued and remittent fevers ; 
and under the second the intermittent fevers. 



FEBRES CONTINUE ET REMITTENTES. 

In applying to fevers the specific terms, bilious, 
typhus &c, I do not wish to be considered as view- 
ing them as expressive of certain determinate diseases, 
or as calculated to guide with accuracy to the proper 
treatment. Each of these terms is applied to fevers 
of widely different origin, and which present a great 
diversity of symptoms, and require very different 



FEBRIS. 199 

remedies. But since they express (though rather 
vaguely) certain general symptoms or circumstances 
of disease, they may be employed as guides to those 
remedies which have proved useful where these 
symptoms or circumstances have been present; from 
among which remedies the one adapted to the other 
symptoms of the individual case may be selected. 

It is to be regretted that the present classifications 
of fevers are so imperfect, that they can aid but little 
in the selection of the appropriate remedies; and it 
is much to be desired that careful and observant 
physicians would publish their accurately recorded 
cases of fever, in order that the means may be afford- 
ed for a more satisfactory classification, the difficulty 
of selecting the remedies lessened, and the certainty 
of cure increased. 

Febris biliosa. Aconit., antim. crud., et tart., 
arsen., asanim, aurum, bellad., bryon., cham., cinch., 
coccul., digital., ignat., ipecac, mere, nux v., pulsat., 
scilla, staphysag., sulphur, tarax., verat. 

F. catarrhalis. See catarrhus. 

F. inflammatoria. Aconit., bellad., bryon., nux 
vom. 

F. nervosa. Aeon., ac. mur., ac. phos., arnica, 
bell., bryon., cinch., coccul, hyosc, nux vom., opium, 
puis., rhus, sulph., zinc. 

F.puerperalis. Aeon., arnica, arsen., bell, bryon., 
cham., hyosc, ipec, mere, nux vom., plat, puis., rhus. 

F. putrida. Ac. phosph., ac. mur., arsen., bell, 
cinch., hyos., ipec, nux vom., opium, rhus. 

F. typhus. Aeon., ac. phosph., arsen., bellad., 
bryon., cham., cinch., coccul, conium, cuprum, digit, 
hell nig., ipec, ignat., mere, nux vom., opium, 
pulsat., rhus, sulph., stram., verat, 



200 FEBRIS. 

Acid. rnur. F. typhus gravior. In one case, the 
typhous symptoms disappeared in twenty four hours 
under the use of acid. mur. 20|30 in four ounces of 
water. Dose, a dessert spoonful every half hour. 

Muriatic acid will frequently be found indicated 
in typhus fever, where there is a gradual drawing 
together of the body in bed, with groaning during 
sleep. Also, when with dryness of the mouth, there 
is a paralytic condition of the tongue, especially, 
when the patient, though in the possession of perfect 
conciousness, is unable to move the tongue. 

Acid, phosphor. F. typhus gravior. Case. Com- 
plete apathy, noticing nothing. Face pale, nose 
pointed, eyes sunken, staring and glassy. No desire 
for any thing. Grasped about with his hands, as if 
he would take hold of something. Answered ques- 
tions interruptedly, shortly, or at times so indistinctly 
(stammering) as not to be understood, at times the 
answers such as were not suited to the questions. 
Temperature of the skin somewhat elevated. Pulse 
full, but frequent and very weak. Ac. phosph. gr i. 2. 
In twenty-four hours well with the exception of some 
debility which speedily disappeared. 

F. typhus gravior. Case. Invincible disposition 
to sleep. When awakened, distressing confusion of 
the head. Hardness of hearing, with noise in the 
ears. Nose dry. Tongue moist. Urine reddish, 
depositing some red sediment. After a variety of 
remedies either without effect, or with modifications 
without improvement, or with temporary improve- 
ment and then relapse: Acid, phosph. gtt. i. 2. in 
the afternoon. The patient was better in the follow- 
ing night, and was next day free from fever. The 
strength gradually returned. 



FEBRIS. 201 

This remedy is considered by some practitioners 
to act best in the lower dilutions. That it acts well 
in those dilutions is proved by both the above cases. 
It is frequently adapted to typhus fever when there 
is diarrhoea, foulness of the mouth, great debility and 
stupid insensibility. It has also proved useful where 
there was slight muttering; picking the bed-clothes; 
harsh, dry, burning hot skin, and dry tongue. 

Aconitum. In inflammatory fevers, especially when 
they are accompanied by local inflammation, aconit. 
is the remedy which should generally be first ex- 
hibited. It frequently effects a removal of the disease; 
and where it fails to do this, it generally moderates 
the fever, and appears to place the system in a better 
condition for the operation of the remedy which is 
adapted to the local affections or other symptoms of 
the case. Hartmann considers it sometimes necessary 
to repeat this medicine at intervals of six, eight or ten 
hours, and recommends a dose of a higher dilution, 
when the preceding dose has much diminished, with- 
out entirely overcoming the fever; and of a lower 
dilution when the fever, after some hours, shows no 
diminution. Hahnemann remarks that in inflamma- 
tory fevers, "after twelve or sixteen hours' operation 
of the aconit., a homoeopathic remedy for the remain- 
ing symptoms is often necessary, and that after this, 
there will seldom be occasion for a repetition of the 
aconit." 

This remedy has been sometimes advantageously 
employed in the treatment of puerperal fever. 

Antimoniwm. Both the ant. crud. and tart, are 
sometimes indicated in bilious fevers where there is 
vomiting and diarrhoea, combined with cutting pains 
in the abdomen. The ant. crud. sometimes cures 



202 



FEBRIS. 



"a bad, acute fever with inflammation and sticking 
pain in the interior of the ears, vertigo &c," but to 
these fevers arsenic, or rhus is frequently better suited. 

Arsenicum is often useful in those forms of fever 
to which the term putrid is applied. In these fevers, 
there is great debility and sinking of the vital powers. 
The skin of the patient communicates to the hand a 
sensation of prickling, biting, burning heat; whilst 
the patient has a sensation of internal chilliness or 
feels chills to run over him. Pulse small, weak and 
very frequent. The eyes red, glassy, and with a 
suffering expression, cheeks livid. Tongue brown 
or black, chapped, in some cases dry, in others moist. 
Patient anxious, dejected, indifferent or insensible. 
Taste, breath and perspiration offensive. Sordes in 
the mouth. The skin may become soft, moist and 
clammy without general sweat and without allevia- 
tion. Urine very changeable. Stools colliquative, 
composed of offensive dark matter. Hemorrhage from 
all parts. Petechia, bloody vesicles. Slight local irri- 
tations, as pressure, &c, cause gangrene. 

In these fevers arson, may be employed advan- 
tageously even in their worst stages. 

But there are several other remedies, which are 
sometimes indicated in such fevers, among these are 
acid, phosph., acid, muriat., bellad., cinch., hyosciamus, 
nux v., opium., rhus. 

Belladonna. This remedy is of great utility in 
fevers accompanied by great heat and redness of 
the skin, and much cerebral disorder ; the latter cir- 
cumstance being evidenced by violent cephalalgia, 
confusion of mind or furious delirium, and great 

7 o 

determination of blood to the head, with redness and 
preternatural brightness of the eyes. 



FEBRIS. 203 

In puerperal fever it is often a valuable remedy, 
as may be understood from the following case. 

A woman set. 36 ann. was suddenly attacked, after 
violent mental agitation, on the sixth day after partu- 
rition, in the following manner. Severe chill through 
the back and extremities, with great heat and redness 
of the face; the abdomen was somewhat tumid, and 
excessively painful on the slightest touch ; pains, re- 
sembling labour pains, every quarter or half hour, 
with pressing down towards the vulva and anus, and 
every time a discharge of fetid black blood in lumps. 
Fever, which gradually increased in violence, but 
was attended by coldness of some parts, particularly 
of the extremities ; burning heat and redness of others, 
especially of the head, and partial sweat of the 
warmly covered parts. Violent pain in the forehead, 
increased beyond endurance by motion or speaking. 
Distressing sensation of dryness in the mouth, with 
tolerably clean, high red, yet entirely moist, tongue, 
on which the papillae were remarkably prominent. 
Only moderate thirst, swallowing rendered somewhat 
difficult by stricture of the oesophagus. Frequent 
small diarrhoeal stools, and frequent discharge of 
small quantities of straw-yellow urine. Shattering 
cough, with rattling in the trachea, which excited the 
severest pain in the abdomen, increased discharge of 
blood, and sometimes involuntary urination. Short, 
quick, noisy respiration, with evident constriction of 
the chest. Delirium of the wildest kind. Sleepless- 
ness, anxiety, tossing about. The first eight hours 
she saw every thing doubled, and of an immoderate 
lustre. At the end of this time, every thing appeared 
bright red ; after some hours more, purple ; and still 
later, an amaurotic condition of the eyes supervened 



204 FEBRIS. 

and she complained of being in a perfectly dark place, 
though the apartment was well lighted. The pupils 
were widely dilated. 

In this condition she was found by the physician. 
No medicinal treatment had been resorted to; all 
other proper attention and care had been bestowed 
on the patient. He administered bellad. 24, and in 
half an hour afterwards the patient fell into a soft 
sleep, out of which she awakened, at the end of two 
hours, much improved, and in the course of sixteen 
or eighteen hours she was well, with the exception of 
some debility. 

Bellad. is also useful in bilious fevers, where they 
are accompanied by inflammatory affections of the 
fauces, or roseolous or erysipelatous eruptions. 

F. typhus gravior. Case of a lad after three weeks' 
treatment with medicines in large doses. No sleep. 
Raves (phantisirt) with closed eyes; either answers 
no questions, or answers them improperly or hastily, 
and with few words. Respiration quick. Pulse 
sixty to seventy in the minute, and weak. Tongue 
dry, gray in the middle, and of a dirty yellow on the 
sides. Lips dry, and covered with brown crusts. 
Speech somewhat lisping. Face pale, sunken, and 
covered with cold sweat. No appetite. Constipation. 
Urine bright yellow. Before urination, moaning. 
Hands dry as parchment. Bellad. gtt. i. 30 with 
rapid improvement. 

Bryonia is an important remedy in the treatment 
of fevers which are accompanied by much hepatic 
or gastric derangement, especially when the latter is 
marked by those peculiarities which, when they are 
present in dyspepsia, furnish indications for the em- 
ployment of bryonia in the treatment of that disease. 



FEBRIS. 205 

And when pain at the epigastrium, which is much 
increased by every movement and by pressure, is so 
severe as to induce the suspicion that inflammatory 
action is developed in the stomach, forming an acute 
gastritis, in which disease bryonia is often useful. 
And in cases where such fevers are accompanied by 
sticking pains in the joints, arising after or aggra- 
vated by every movement. 

It is a valuable remedy in puerperal fever, and is 
indicated "where the disposition is dull and de- 
pressed, and there is sticking pain in the region of 
either of the ovaries, increased by the slightest pres- 
sure or motion, with painfulness of the thigh on the 
affected side, especially on motion." 

It is useful in some forms of bilious fever, and has 
proved strikingly so in that complication of hepatic 
and gastric derangement with inflammation of the 
lungs which has been termed pneumonia biliosa. 

Case. In a woman set. 44 ann. Severe headache. 
Vertigo on sitting up. Head burning hot; face red 
and tumid. Tongue with a dirty coating. Taste 
bitter; constant severe thirst. Vomiting at first of 
bile, afterwards of a bitter water, of disagreeable 
odour. The vomiting causes great pain in the left 
side, where severe stitches were produced by every 
inspiration, and by coughing. Constipation. Violent 
palpitation of the heart. Sticking pain in the limbs. 
Hands swollen. Increased heat of the skin. Pulse 
rapid, full and hard. Every trifle vexes her. She 
believes she must die, and desires only to be freed 
from the painful vomiting. Bryonia gtt. i. 12 with 
speedy and rapid improvement. 

Chamomilla. F. arising from vexation or anger 
or vexation and fright. 



206 FEBRIS. 

In bilious fevers, especially when arising from the 
above causes. It is indicated where there are heat 
of the face and eyes, with prominent redness of one 
cheek; dry lips and continual thirst; cotemporaneous 
coldness of the limbs; vertigo, with pain in one side 
of the head, or a pressing heaviness in the forehead; 
bitter, bilious taste in the mouth, which is com- 
municated to the food; nausea, and even vomiting, 
the ejected matter bitter; yellow, slimy coated tongue, 
the coating generally woolly, thick, and more yellow 
towards the root of the tongue; eyes red, lids swollen, 
and adhering together in the morning ; appetite very 
trifling, often entirely gone; distension of the ab- 
domen, especially in the hypochondria, with a sensa- 
tion as if it was too full, and pressed up towards the 
breast, causing not only discomfort, but a feeling of 
anxiety; pressing in the stomach, colic pains, and 
watery stools; restlessness, peevishness, irritability; 
sleep interrupted by starting, tossing about, and at- 
tacks of anxiety. Depression of spirits; heaviness 
and fatigued feeling of the limbs. 

Chamomilla afforded speedy relief in a puerperal 
fever, where there was great restlessness and nervous 
excitability; suppression of the secretion of milk in 
the breast; diarrhoea, with white stools; immoderate 
lochia, with pains in the back resembling labour 
pains; headache, and oppression of the breast. 

Cinchona. F. Case in a weakly woman set. 65 
ann. Disease of four days' duration, presenting the 
following symptoms. 

Confusion of the head ; vertigo on sitting up in bed. 
Sleep light, restless and unrefreshing. Yellow colour 
of the skin and eyes. Loss of appetite. Bitter taste. 
Bitter eructation. Nausea. Yellow coated tongue. 



FEBRIS. 207 

Slight thirst. Fulness and pressing in the epigas- 
trium. Tightness of the breast. Diarrhoea; stools 
white. Urine dark-red. Great debility. Sorrowful 
and peevish. Cinch, gtt. i. 12 with great improve- 
ment. A few remaining symptoms, and among these 
constipation, were removed by bryonia. 

F. From the valuable properties of cinchona in 
the cure of intermittent fever, arising from exposure 
to marsh miasmata, it is worthy of attention in the 
remittent fevers, which spring from the same source. 
In a form of fever, intermediate between a remittent 
and quotidian intermittent, caused by exposure to 
the marsh miasmata of a southern port, but first de- 
veloped on the arrival of the patient in this city, (a 
very common circumstance with whole crews in the 
latter part of summer,) cinchona, in the dose of one 
fiftieth of a grain, effected very great improvement. J. 

F. nervosa vel typhus. Loss of appetite; great 
thirst; clayey taste; tongue and lips black and 
chapped; yellow, watery diarrhoea; cough, with ex- 
pectoration of mucus; sleep quiet but unrefreshing. 

Cocculus. F. Case after vexation. Chamomilla 
had been previously employed. Pain in the head 
and teeth. Rushing in the ears. Yellow-coated 
tongue. Dryness of the mouth without thirst. Dis- 
position to vomit, with eructation of disagreeable 
odour. Disgust to food. Painful fulness of stomach, 
with difficulty of respiration. Stitches in the region 
of the liver, between the scapulae, and in the loins. 
Nipping pain in the abdomen. Soft yellow stools, 
creating a sensation of burning at the anus. Great 
debility. Numbness of the hands. Redness of the 
face. Burning in the feet. Skin hot, with constant 
chilliness. Anxiety and fear of death. 



208 FEBRIS. 

F. Case. Severe pressing headache, especially 
in the forehead. Dimness of sight. By every move- 
ment vertigo, and a sensation as if the eyes were 
drawn out of the head. Nausea. Slight appetite. 
Much thirst. Burning in the breast and throat, with 
sulphurous taste and dryness of the mouth. Consti- 
pation. Trembling of the whole body. Little sleep. 
Anxiety. Sweat on the slightest motion. Nux v. 
had been previously administered without the least 
advantage. After cocc. gtt. i. 12 the improvement 
was immediate, and the recovery rapid. 

Coffea has been recommended for puerperal fever, 
accompanied by preternatural excitability of the 
nervous system. 

Colocynthis. F. puerperalis. Case. After vexa- 
tion. Head hot. Face and eyes red. Yellow-coated 
tongue. Pulse full, hard and quick. Skin hot and 
dry. Abdomen painful on being touched. Consti- 
pation. Cessation of the lochia. Delirium, alternat- 
ing with sleep with half open eyes. After colocynth. 
2|30 rapid recovery. 

Digitalis. F. with constant nausea, frequent vomit- 
ing, great bitterness in the mouth. Diarrhoea. Loss 
of appetite. Thirst. Vertigo. Pain over the eyes. 
Little sleep at night. Anxiety. After digit, gtt. i. 15 
the recovery was rapid. 

Hyosciamus is indicated in typhus fever by the 
following symptoms. Lively delirium, with various 
phantasies. Over-liveliness and complete sleepless- 
ness. Restlessness. Trembling of the hands on 
motion. Twitching of single muscles or of the whole 
limb. Picking at the bed-clothes. Inclination to 
spring out of bed. Heat and redness of the face. 
Eyes red, staring and sparkling, with alternately 



FEBRIS. 209 

dilated and contracted pupils. Puroloid matter on 
the edges, and in the angles of the eyelids. Rushing 
or ringing in the ears. Dysecoea. Tongue dry, 
harsh, and with a brown coating. 

This remedy has proved serviceable in some forms 
of puerperal fever. 

Ipecacuanha. F. Headache, particularly in the 
forehead. Pale, sallow countenance. Dry lips. Thick, 
slimy, dirty-yellow coating on the tongue. Fetor 
of the mouth. Eructation, nausea, vomiting of the 
ingesta, with much retching. Bitter taste; every 
thing tastes bitter. No appetite. Much thirst. Pain, 
pressing and sense of fulness in the stomach. Cutting 
pain in the abdomen, increased by pressure. Putrid, 
fetid stools, preceded by cutting pain in the abdomen. 
Cannot sleep on account of heat and thirst. Pulse 
small, hard and intermitting. 

Lycopodium. F. typhus. Where the patient is 
quarrelsome upon awaking out of sleep, and exhibits 
much ill nature, and the bowels are constipated. 

Mercurius. F. typhus. Where there is vertigo. 
Fulness and confusion of the head. Incapability of 
thinking. Severe pressing pain in the head, es- 
pecially in the forehead and top of the head. Rushing 
in the ears. Thick, dirty-yellow, slimy coating of 
the tongue. Disgusting, putrid, slimy taste. Nausea, 
retching ; vomiting of bitter mucus. Great sensibility 
of, and painfulness in the epigastrium and about the 
umbilicus. Burning heat of the skin. Yellow, diar- 
rhosal stools. 

Or where there is putrid, bitter taste, with clean 
tongue. Great sensibility of the epigastrium, pain 
and tumefaction in the region of the liver ; pain in- 
creased by pressure. Constipation. 
14 



210 FEBRIS. 

Or where there is bleeding of the gums, very dark 
urine, and frequent greenish-yellow stools. 

Nux vomica. F. synocha. Nux vom. is some- 
times indicated in inflammatory fever after one or 
more doses of aconit. 

F. case. Vertigo. Pressing pain in the forehead. 
Dulness of the eyes with yellowness of the whites. 
Dark yellow coating of the tongue. Bitter acid odour 
of the mouth. Eructation of a bitter, acrimonious, 
yellow fluid. Cough, with retching to vomit. Dislike 
for food. Much thirst. Burning: sensation in the 
oesophagus. Attacks of violent pain in the right side 
of the chest with difficult respiration. Constant 
pressing in the regions of the liver and stomach, 
which are much tumefied. Burning pain in the 
umbilical region. Ineffective pressure to stool. Much 
dark yellow urine. Soreness as from great fatigue in 
the limbs. Sleepiness. Awaking in fright out of 
anxious dreams. Biting heat of the skin. Small, 
contracted pulse. 

F. in consequence of great heat of the weather and 
exertion. Frequent chilliness. Much heat. Con- 
siderable thirst. Disinclination for food. Bitter or 
putrid taste, especially in the morning. Tongue 
white, or white and moist in front, and yellow and 
dry towards the root. Loss of appetite. Constant 
nausea. Eructation bitter, or of the taste of the in- 
gesta. Vomiting of the ingesta. Pressing in the 
epigastrium. Small watery or slimy stools, the latter 
with soreness of the rectum. In some cases consti- 
pation. General relaxation and debility of mind 
and body. Depression of spirits. Little sleep, or 
sleep interrupted by anxious dreams. The headache 
mostly in the forehead, though in some cases a pressing 



FEBRIS. 211 

pain through the whole head, or in the back of the 
head, accompanied by vertigo and confusion. In 
some cases great heat and redness of the face, with 
coldness and chilliness of the rest of the body. 

F. typhus. In the forming stages, or even after its 
complete developement. 

F. puerperalis. Case. Disease commenced on 
the third day after parturition and after purgative 
and diaphoretic treatment. On the ninth day after 
parturition it presented the following symptoms. 
Severe burning pain through the whole abdomen, 
increased by motion or touch, even by the weight of 
light bed-clothes. The abdomen very hot. Fre- 
quently, a burning, cutting in the umbilical region, 
which compelled bending of the body, and generally 
accompanied by eructation. Nausea, and vomiting. 
No stool for three days. Suppression of the lochia. 
Urine small in quantity. Skin dry, like parchment, 
and burning hot. Thirst moderate, and mostly for 
cold drinks. Pulse full and hard. Face red. Tongue 
and lips dry, the former with a dirty-yellow coating 
towards its root. The mammae painfully distended : 
yet the child sucked with satisfaction. Short, dry 
cough increasing the pains. Countenance expressive 
of great anxiety. Constant restlessness. 

Very shortly after the administration of nux v. gtt. 
i. 30, and an enema of lukewarm milk, the patient 
fell into a refreshing sleep, which lasted for two 
hours, and out of which she awoke almost well. The 
injection had remained with her during the whole 
time, and soon after waking she had a normal stool. 
In two days she was entirely well. 

Pulsatilla. F. from wet clothes. Vertigo. Eye- 
lids inflamed, swollen, and secreting much puro- 

14* 



212 FEBRIS. 

loid matter. Bitter taste. Vomiting of bile and 
mucus. Diarrhoea, with thin mucous stools. Before 
vomiting, tearing pains in the abdomen. Constant 
chilliness. Stitches in the right ear. Febrile heat 
and red tumid face. But slight thirst. Laying as 
if insensible, with the eyes directed constantly on the 
same object. Debility. Aconit. 2|24 and after twelve 
hours, pulsat. 2|15. The first day some return of 
appetite; the most of the second day out of bed; the 
third day at work. 

F. from eating pork. Eructation. Vomiting. 
Rumbling in the abdomen. Epigastrium painful on 
pressure. Fever. Restless sleep. Debility. 

F. In a child aged eighteen months. Eructation. 
Loss of appetite. Dulness of the eyes. Changing 
redness of the cheeks. Full pulse. Exacerbation in 
the evening. Pulsat. gtt. i. 12. Well in ten hours. 

F. typhus. Pulsat. 18 was employed with advan- 
tage. It was given whenever weeping and wringing 
the hands occurred. 

. F. puerperalis. When the countenance of the 
patient is expressive of her mental and corporeal suf- 
ferings, the disposition is mild, and there is over ex- 
citability of the nervous system. Sudden suppression 
of the lochia with a feeling of fulness and burning 
in the internal organs of generation. Paroxysms of 
heat with anxiety. Nocturnal anxiety. Palpitation 
of heart and sleeplessness. Under these circum- 
stances severe thirst does not counter-indicate this 
remedy, provided there is diarrhoea with copious 
discharges. 

In cases where the lochia are suddenly suppressed 
by violent mental emotions, or by taking cold, pulsat. 
will frequently be the proper remedy to prevent the 
formation of a puerperal fever. 



FEBRIS. 213 

Rhus. F. typhus. Hahnemann mentions in his 
introduction to rhus, that this remedy, in alternation 
with bryonia, cured a typhus, which ravaged those 
countries of Europe which were most visited by the 
war in 1813, and that of one hundred and eighty- 
three patients with this disease, under his care in 
Leipzig, not one died; while thousands " were allowed 
to go home to their fathers" under the ordinary modes 
of treatment. 

F. typhus. Case. Vertigo on movement. Severe 
headache, as if the brain would press out. Inca- 
pability of thinking clearly. Eyes very sensitive. 
Roaring in the ears, with dysecoea. Sensation of 
dryness in the mouth. Great thirst. Tongue brown 
and dry. Loss of appetite. Constipation, with in- 
effectual pressure to stool. Urine dark coloured and 
hot. Tightness of chest. Little sleep, frequently 
interrupted by dreams. Patient spoke much of fire, 
was very anxious and fearful, and would frequently 
endeavour to spring out of bed. Pulse rapid, small 
and unequal. Bryonia without improvement. Rhus 
30. In three hours striking remission, and in four 
days able to go out. 

F. typhus. In the typhus fever which sometimes 
succeeds the Asiatic cholera, rhus has been found a 
most valuable remedy. 

F. puerperalis. When with irritability of the 
nervous system, a slight vexation aggravates the dis- 
ease, and after the lochia have become colourless, 
they suddenly become bloody, even to such an extent 
as to be coagulated. 

Stramonium. F. typhus. With anxious delirium, 
and deceptions of sight and hearing. Or where there 
is continual delirium, the patient at one time singing 



214 FEBRIS. 

or whistling, at another, talking as if with persons 
who are absent. At other times, disposed to spring 
out of bed, in order to run away or to go to his 
employment. 

F. typhus. Case. After several days' treatment 
with calomel in large doses, vesicatories to the neck, 
leeches, &c. Patient could neither see nor hear. 
Pupils widely dilated, eyes insensible to strong light. 
Patient would utter a few words interruptedly. After 
twenty-four hours' discontinuance of all medicines, 
his condition was unchanged, except that suppression 
of urine was added to his other symptoms, and he 
would sometimes lay, for a short time, in a soporose 
condition, with loud stertor and open mouth. True 
sleep he had not. Stramon. gtt. i. 3. Shortly after 
taking it, he fell asleep : slept for two hours, awakened 
sensible, and could see, hear and speak, though in- 
distinctly. Rapid improvement followed. 

FEBRES INTERMITTENTES. 

The selection of the proper remedy for every case 
of intermittent fever is very difficult, and much ex- 
perience is requisite to the attainment of tolerable 
certainty. This, according to Dr. Hartlaub, is best 
attained by a close study of what he terms "the op- 
posite relations of the constituents of the intermittent 
paroxysm, i. e. of the chill, of the heat, and of the 
thirst; the sweat being of less importance." The 
meaning of this expression can best be understood by 
reference to arsen., capsic, carbo veg., cina, cinchona, 
ignat., ipecac, nux v., pulsat., sabadill., verat., under 
each of which are described the forms of intermittent 
fevers adapted to it. The indications, which he con- 



FEBRIS. 215 

siders to be of the next importance, are those fur- 
nished by the other symptoms which accompany 
the paroxysm, and those which are present in the 
apyrexia. "The latter," says Hartlaub, "according 
to my experience, play a very subordinate part, es- 
pecially when they are chronic disorders, which, 
though they may be of great importance in them- 
selves, are not so great in relation to the fever ; for 
this can be cured and these previous disorders still 
continue. When, indeed, as frequently happens, the 
symptoms which first appear with the fever, and ac- 
company the paroxysm, continue through the apy- 
rexia, they demand much greater attention, and 
necessarily so, when the paroxysm is not peculiarly 
marked, as in the simplest form of intermittent fever, 
which consists in chill without thirst, heat with 
thirst, and sweat. 

"It is very surprising, that in a disease which ap- 
pears under so many forms, the type should appear 
to be of no particular importance in the treatment. 
With all the medicines which I have employed, I 
have cured quotidians and tertians; with many of 
them also quartans ; only I have found arsenic, more 
frequently preferable in quartans, and pulsat. in quo- 
tidians. Yet whenever the symptoms have been 
sufficiently characteristic to determine the indication, 
I have been guided by these, without any reference 
to the type, and in this way I have succeeded well. 

" As to the importance of the time of day at which 
the access of the fever occurs, I have had no certain 
experience, because most of the intermittents, which 
I have treated, have had more or less of an anticipat- 
ing type, and also the time of access always changed. 
It is, indeed, very probable, that the observation of 



216 FEBRIS. 

the time of day may be of use in the selection of re- 
medies in many cases. 

Of the dose. — Hartlaub gives from one to five, at 
the highest, ten pellets of 30. Only of ipecac, he has 
frequently given gtt. i. 3, in relapses after cinchona, 
with success. Other practitioners speak favourably 
of the employment of some of the remedies in the 
lower dilutions. 

Respecting the time of administering the remedy. — 
Hartlaub adopts and confirms the view 'of Hahne- 
mann, that the medicine should be given immediately 
after the cessation of the paroxysm ; he says, that he 
"has never allowed the medicine to be taken imme- 
diately before the paroxysm, and where it has, at 
times, happened, through the forwardness of the 
patient, he had almost always seen a violent paroxysm 
to ensue." But he admits that medicines, given as 
long as six hours before the expected paroxysm, fre- 
quently operate satisfactorily. A rule supported by 
men of such close observation and great experience, 
is entitled to the highest respect, yet it may be proper 
to remark, that medicines given just before the time 
of the expected paroxysm, have at once arrested the 
disease. In one case I have even seen the remedy 
administered during the paroxysm with highly satis- 
factory results. 

Of the number and repetition of doses. — It is scarcely 
necessary to remark, that in the homoeopathic treat- 
ment of intermittent fever, a single dose is given. It 
has, indeed, been recommended by an anonymous 
writer, to give four doses of ipecac, in the apyrexia, 



FEBRIS. 217 

at longer or shorter intervals, according to the length 
or shortness of the intermission, and to administer a 
dose of nux vom. in the next apyrexia. But this plan 
of treatment partakes of the character of rude empi- 
ricism, and though it may sometimes succeed, yet it 
must more frequently fail, and cannot present the 
same approximation to certainty of success, as a 
treatment based upon the close adaptation of the re- 
medy to the case. Though, for these reasons, not 
disposed to recommend, I have still considered it 
proper to mention this practice, as the writer who 
proposes it asserts that it has proved very successful, 
and as the repetition and succession of remedies are 
subjects which demand the close observation and in- 
vestigation of homoeopathic physicians. 

But where the disease is so far subdued by a re- 
medy, that it is absent for seven or nine days, and then 
returns in a lighter form and with the same character, 
a repetition of the medicine is proper. According to 
Hartlaub, in such cases the same remedy, once or 
twice repeated, "conquers the disease quickly and 
for ever." He also considers it proper to repeat the 
remedy once experimentally, in those cases, where, 
after its administration, the character of the disease is 
changed, but still not essentially altered, and the 
chill, heat and thirst are more moderate than before, 
especially when it has been chosen with full convic- 
tion of its adaptation, and no other remedy is known 
which promises more certain success. 

Of the process of cure. — After the administration 
of the homoeopathic remedy, the paroxysms may at 
once cease to return, and this sometimes happens 
even in inveterate cases of from six to eighteen 



218 FEBRIS. 

months' duration. Or a much weaker paroxysm, a 
mere shadow of the preceding, may appear, and then 
no more; and this happens most frequently. Or, as 
less frequently happens, the fever ceases after two, 
three or four paroxysms, each weaker than the pre- 
ceding. Or a paroxysm more severe than any of the 
preceding occurs, and after this no other; but this is 
not of frequent occurrence. Or finally, as sometimes 
happens in fevers of some considerable duration, 
there is no appearance of the disease for seven, nine 
or more days, and then very slight, regular parox- 
ysms of the same or nearly the same character. 

Of the time during which we should wait for the 
operation of the medicine. — It is the opinion of Hart- 
laub, that this should be only sufficient to ascertain 
the effects of a remedy, and whether a cure has been 
effected. The length of time necessary for this 
purpose can be inferred from what is said in the 
preceding paragraph in relation to the process of cure. 

Of relapses. These sometimes happen, but far 
less frequently than under the ordinary mode of 
treatment, and the patients usually enjoy good health 
in the interval, which is seldom the case after the 
suppression of intermittents by large doses of cin- 
chona or quinine. 

In the preceding remarks, as also in the following 
pages, I have drawn largely on the treatise of Hart- 
laub, because this is the best which I have met with 
on intermittent fevers, and his statements appear 
to be the result of close observation and extensive 
experience. 

Chill without, and subsequent heat, with thirst, 



FEBRIS. 219 

indicate nux vom., cina, ipecac, soda mur., carlo veg. 
and cinchona. 

Chill and subsequent heat, both with thirst: capsic, 
sodai mur., nux vom., cinch., bryonia. 

Chill and subsequent heat, both with little thirst: 
pulsat., arsen., sabad., sodce mur. 

Chill and subsequent heat, without thirst: ignat., 
carb v., capsic. 

Coldness and heat in alternation: nux vom., lobel. inf. 

Chill and heat intermixed : sabad. 

Heat, with coldness of some parts: nux vom., cinch., 
ignat. 

Heat, antecedent to the chill : capsic. 

Chill and subsequent sweat: verat., thuya. 

Chill remarkably weak: arsen., cham. 

Heat and subsequent sweat : cinch. 

Chill alone: verat., soda mur., arnica. 

Heat alone : valerian. 

Heat burning: arsen., bryon., pulsat. 

Chilliness in the heat, or sweat on motion: nux 
vom., rhus. 

Chill increased by drinking : nux vom. 

Cold sweat following the heat: capsic, verat. 

Thirst before the chill: nux vom., cinch., capsic, 
arnica. 

Thirst, in the chill: capsic, ignat., carbo v., soda 
mur., nux vom., thuya, rhus, bryon., cina, verat., 
cinch., lob. inf.,ferri acet., mezereum. 

Thirst, only between the chill and heat: cinch., 
pulsat. 

Thirst, throughout the paroxysm : nux vom., arsen., 
lob. inf. 

Thirst continues in the apyrexia: soda mur., cinch., 
nux vom. 



220 FEBRIS. 

Aconitum. F. i. Quartana. 

F. i. Case cured by four doses of aconit., given in 
the apyrexia. Severe chill, succeeded by dry, glow- 
ing heat, with great anxiety and oppression. 

F. i. Case where the paroxysms observed no 
regular period; cured by aconit. 2|24. Slight chilli- 
ness, succeeded by heat, with hot, red cheeks, head- 
ache and loss of appetite. 

F. i. quartana cured by two doses of aconit. 2|24. 
In the evening, chill, succeeded by heat of ten hours' 
duration. 

Antimonium crud. F. i. where with but little 
thirst there is a heavily coated tongue, bitter taste, 
with eructation and loss of appetite. 

Aranea diad. in the first, second and third dilutions, 
has many times cured intermittent fevers. 

Arnica. F. i. where before the chill there is great 
thirst, with much drinking. In the heat, thirst, with 
moderate drinking. 

Arsenicum. F. i. Tertiana, quartana, quotidiana. 
Morning and evening fevers. Frequently in relapses 
after cinchona, and in anticipating type. 

F. i. Chill without thirst; then heat with thirst, 
and then sweat. 

F. i. Chill and heat, both without thirst. 

ACCOMPANYING DISORDERS. 

Before the chill. — Vertigo, syncope, benumbing 
headache, severe stitches in the left side of the breast. 
Drawing here and there in the abdomen and back; 
yawning and stretching. 



FEBRIS. 221 

In the chill — Anxiety; headache; flying stitches in 
the head and bones of the limbs; drawing, tearing 
pains in the head and arms ; nausea, or vomiting of 
bilious matter; coldness in the abdomen; oppression 
at the breast; pressing in the loins and epigastrium, 
and disordered respiration; pains in the back and 
limbs; gaping and stretching. 

Between the chill and heat. — Debility and sleep. 

In the heat. — Delirium; confusion and heaviness 
of the head ; headache ; anxiety ; vertigo on rising up ; 
sallow, bloated face; bitter taste; tongue white and 
dry ; nausea; pressing pain in the region of the liver; 
left hypochondrium hard and painful on pressure; 
fulness and tension of the upper part of the abdomen ; 
pressing and burning in the epigastrium, extending 
into the left hypochondrium; hard, distended ab- 
domen; oppression of the breast; severe stitches in 
the left side of the breast : redness of the skin. 

After the paroxysm. Pressing pain in the forehead. 
Sleep with frightful dreams. 

In the apyrexia. Anxiety, excitability, fretfulness; 
vertigo; confusion; pressing and beating pain in the 
forehead; paleness of the face; dry, slimy mouth; 
white coated tongue ; no appetite ; much thirst ; eruc- 
tation after eating; nausea; pressing in the stomach; 
tension and distension of the hypochondria; dis- 
tended abdomen. Stretching and cutting pain in 
the abdomen; undigested matters in the stools; op- 
pression of the breast in the free air; drawing, stick- 
ing, stretching pain in the breast and spine; pain in 
the back; drawing, tearing pains in the arms and 
head; great debility ; cold, clammy sweat. 

Belladonna. F. i. Quotidiana, tertiana, quartana. 



222 



FEBRIS. 



F. i. quotidiana, with violent headache, and ver- 
tigo; redness of the eyes; nausea; vomiting; consti- 
pation; shaking chill or mere shivering; without 
subsequent great heat. 

F. i. Case. Great thirst and headache; trembling 
chill; heat, with mental wandering, and little sweat. 

F. i. tertiana, with great thirst and toothache. 

F. i. quartana, with cotemporaneous swelling of 
the glands of the throat. 

Bryonia. F. i. Tertiana. Quotidiana. 

F. i. tertiana, attacking in the morning. Chill 
preceded by vertigo, with pressing in the head, ac- 
companied by stretching and drawing in the limbs, 
much thirst and disgust for food, Heat first alterna- 
ting with chill, then burning, with unquenchable 
thirst, and then profuse sweat. With the fever there 
entered an irritating, dry cough, with stitches in, and 
tightness of the breast, increased by motion. 

F. i. tertiana, with headache, gastric disorder, 
rheumatic pains, increased by motion, and inclination 
to costiveness. 

F. i. quotidiana. Every afternoon a severe shaking 
chill for many hours, attended by intolerable out- 
ward-pressing headache, particularly in the forehead, 
increased by motion : therewith, great thirst. After 
the chill, very weak, without increased heat, or at 
most only in the head. Sleep at night restless and 
unrefreshing. 

Cantharides cured an intermittent fever accompa- 
nied by catarrhus vesicae et urethra? and swelling of 
the penis. 



FEBRIS. 223 

Capsicum. F. i. Quotidiana. Tertiana. Fre- 
quently in relapses after cinchona. 

F. i. Chill with thirst, then heat with thirst, and 
often at the same time with sweat. In one instance 
much cold sweat succeeded the heat. In some cases 
thirst also precedes the chill. 

F. i. Chill with thirst, then heat without thirst, 
with sweat. 

F. i. Heat, then chill with thirst. 

ACCOMPANYING DISORDERS. 

In the chill. — Headache, much spitting; mucous 
vomiting; large, painful swelling of the spleen; pain 
in the back; at the beginning of the chill, tearing 
through the back, loins and knees exceedingly violent, 
and such headache and confusion that the patient 
cannot keep up. Intolerable tearing pain in the 
limbs. 

In the heat. — Headache; sticking in the head; 
disagreeable taste; cutting in the abdomen, with 
ineffectual pressure to stool; pain in the breast; pain 
in the loins; tearing in the lower extremities. 

In the apyrexia. — Ashy colour of the face; little 
appetite; tumefaction of the spleen; drawing pains, 
now here, now there, in the body, worse in the 
fresh air; swelling of the feet; constant chilliness and 
coldness. 

Carlo veg. F. i. Tertiana. Quotidiana. Quartana. 
Frequently in very long continued (one, two years) 
fevers, and in relapses after cinchona, 

F. i. Chill with great thirst, then heat with less, 
or no thirst, or with thirst only at its beginning. 
The chill not always severe, though frequent shaking 



224 FEBRIS. 

chill; it is often preceded by coldness of the feet. 
The heat is at times combined with redness of the 
face, at times with sweat. 

F. i. Chill without thirst, then heat with thirst. 

ACCOMPANYING DISORDERS. 

Before the chill. — Beating in the temples ; tearing 
in the teeth and in the bones of the limbs; cold feet. 

In the chill. — Debility. 

In the heat. — Vertigo; headache; redness of the 
face; dimness of sight; nausea; pain in the breast, 
stomach and lower part of the abdomen; oppression 
of the breast; much pain in the lower extremities. 

In the apyrexia. — After the paroxysms, headache; 
want of appetite ; region of the stomach tumid, and 
after eating, painful; sleep little and disturbed; de- 
bility, paleness and emaciation. 

Chamomilla. F. i. Slight chill, but long con- 
tinued great heat, with thirst, confusion of head, and 
frequent affrighted starting up. 

Cina. F. i. Quotidiana. Tertiana. Relapses 
after cinchona, and in procrastinating type. 

F. i. Chill without thirst, then heat with thirst, 
and after this, or before it is at an end, sweat. 
Sometimes sleep during the sweat. 

F. i. Chill with much thirst, then great heat with 
some sweat. 

F. i. Thirst only in the cold stage, and after the 
paroxysm vomiting once or twice. 

ACCOMPANYING DISORDERS. 

Before the chill. — Disposition to vomit; drawing in 
the limbs. 



FEBRIS. 225 

In the chill — Headache; nausea; bilious vomiting. 

In the heat. — Delirium; increased headache; pale- 
ness of the face ; insatiable hunger ; pain in the right 
side of the breast by breathing. 

After the paroxysm. — Vomiting. 

In the apyrexia. Paleness; just after the fever, 
extraordinary appetite; insatiable hunger; debility. 

Cinchona. F. i. quotidiana. Tertiana. Ter- 
tiana duplicata. Morning fevers. 

F. i. Chill, then heat. Thirst begins just as the 
chill ceases, and endures for an hour in the heat ; or 
it occurs when the chill is entirely past and yet 
before the heat begins, and is slight, (drink being 
taken but once or twice. ) 

F. i. Thirst, then chill, and then heat, with debili- 
tating sweat. 

F. i. Chill without thirst, then heat with thirst; 
sweat may or may not succeed. 

F. i. Chill with thirst, then heat with thirst. The 
thirst continues into the apyrexia. 

F. i. Internal and external coldness, especially of 
the upper part of the body, with shivering, cotempo- 
raneous heat in the head, and redness of the face, 
ending with intermixed heat and chilliness, with 
thirst; then sweat. 

F. i. Heat with burning thirst, then sweat. 



ACCOMPANYING DISORDERS. 



In the paroxysm. — Anxiety; headache; vertigo; 
vomiting, also of bile; pain in the region of the liver; 
pain in the lower part of the abdomen; stitches in the 
breast; cough; pain in the lower extremities and 
haunches. 
15 



226 FEBRIS. 

In the apjrexia. — Headache; confusion of the head; 
pain in the scalp ; yellowness and sallowness of the 
face; dull eyes; want of appetite; tongue in many 
cases clean; ravenous appetite at night; thirst; after 
eating, sense of fulness in the stomach, and drowsi- 
ness; pressure as from a stone in the epigastrium; 
nausea; constipation; diarrhoea, with prolapsus ani; 
cough, with difficult expectoration; swelling of the 
feet; trembling from debility ; want of sleep. 

Cocculus. F. i. Evening shaking chill, with 
previous shivering and blueness of the nails. 

In the apyrexia. — Vertigo; dull headache; depres- 
sion of spirits ; want of appetite ; general weakness. 

Drosera. F. i. Tertiana. 

F. i. Chill with headache. Fever with disposi- 
tion to vomit. 

F. i. Type not mentioned, with cotemporaneous 
pertussis, cured by repeated doses of drosera. 

Severe chill with cold face, and pale, ice-cold hands 
and feet, and bilious vomiting. Heat, with severe 
pressing, beating-headache, and spasmodic, shattering 
cough. In the apyrexia, gastric disorder. 

Ferrum acet. F. i. Tertiana. 

F. i. First headache and pressing in the fore- 
head, followed by a severe, long continued chill 
with increased headache and much thirst, then 
moderate heat and sweat. In the paroxysm. — Bitter 
taste; loss of appetite ; constipation; yellow colour of 
the face; great debility. In the apyrexia. — Slight 
headache. 



FEBRIS. 227 

Hyosciamus. F. i. Quotidiana. Quartana. 

F. i. quartana. Case of three months' duration in 
which cinchona had been used in large doses with- 
out success. There was a dry, hacking cough at 
night, disturbing the sleep. Hyosc. gtt. i. 3. effected 
a cure both of the cough and fever. 

F. i. quotidiana epileptica, arising after anger. 
Every afternoon spasmodic drawing in the calves of 
the legs, speedily followed by spasmodic affection 
of the stomach, then insensibility and severe epileptic 
convulsions enduring for half an hour. Heat with 
moderate sweat, heaviness of head and vertigo ended 
the paroxysm. 

In the apyrexia. — Great debility, saw wheels or 
circles of fire before the eyes. Dryness of mouth. 
Frequent singultus. 

Ignatia. F. i. Quotidiana. Tertiana. Fevers 
of anticipating type. 

F. i. Chill with thirst, then heat without thirst. 
The chill may or may not be attended with external 
coldness; it is frequently very severe, with shaking 
and tossing of the limbs. In one case the sensation 
of coldness appeared to extend from the abdomen. 
The thirst, which was often very great, was commonly 
at the commencement of the chill. The heat may 
be accompanied by coldness of the feet and internal 
shuddering, and at the same time redness of the 
cheeks. 

ACCOMPANYING DISORDERS. 

In the chill — Nausea; vomiting of food, bile and 
mucus; paleness of the face; pain in the back; para- 
lytic weakness of the lower extremities. 

15* 



228 FEBRIS. 

In the heat. — Delirium; vertigo; headache; beat- 
ing headache; red cheeks; pain in the back; tearing 
pain in all the bones ; sometimes sleep. 

In the apyrexia. — Apathy; pressing in the head; 
tearing in the forehead; paleness of the face; whitish 
tongue; dry lips; little or no appetite ; pressing pain 
in the epigastrium ; pain in the abdomen ; ineffectual 
pressure to stool, hard stool; oppression of the breast; 
pain in the back; heaviness and pain in the limbs; 
debility. 

Ipecacuan. F. i. Quotidiana. Tertiana. Mostly 
relapses after cinchona, and in those cases in which 
it does not conquer the disease it removes the nausea 
and vomiting. The dose must, sometimes, be repeated. 

F. i. Slight chill; mostly of short duration; often 
only a chilliness or shivering, without thirst; then 
strong heat with thirst; and after this, sweat, mostly 
copious. The sweat may be wanting. 

ACCOMPANYING DISORDERS. 

Before the chill. — Drawing in the back. 

In the paroxysm. — Headache ; dulness ; gastric 
disorder; nausea and vomiting; oppression, constric- 
tion and tightness of the breast; cough, with stitches 
in the breast. 

In the apijrexia. — Disagreeable taste in the mouth ; 
bitter taste of the food; much spitting; want of ap- 
petite; after eating, vomiting; great debility; want 
of sleep. 

Lobelia inf. F. i. quotidiana. Attack at 10§ h. 
a. m. In a man set. 49 ann. Severe coldness, alter- 
nating with flashes of heat till 12 m., when the heat, 



FEBRIS. 229 

which was moderate, became more constant, but 
alternating with slight chilliness, continuing till even- 
ing. Profuse sweat at night, slept during the sweat 
as usual. Thirst great from the first chill and during 
the whole of the hot stage, but worst in the chill. 
Respiration short, anxious, laborious and wheezing, 
with sensation of tightness of the chest. Sensation 
of oppression and weakness, principally at the epi- 
gastrium, but extending thence through the whole 
breast. Tickling in the pit of the throat, with fre- 
quent hacking cough. Severe headache, extending 
round the forehead from one temple to the other. 
Loss of appetite, both in the paroxysm and apyrexia. 
Tongue white, scaly coated on the right side, but 
clean on the left. Great debility. Lobelia inf. 15| 15, 
given at 3 1 h. p. m. during the paroxysm, produced 
considerable relief of the oppression of the respiratory 
organs, and the next day there was a very slight 
paroxysm, of short duration; the third day and after- 
wards no more. 

F. i. quotidiana. Attack 12 o'clock m. Two 
cases attended with great sallowness of countenance 
and loss of appetite, both in the paroxysm and 
apyrexia. 

F. i. In a child aged eighteen months, who had 
an intermittent fever of six weeks' duration, sup- 
pressed the previous autumn by sulphate of quinine, 
and in whom it reappeared early in the summer. 
Lob. inf. 1|6, shortly before the expected paroxysm, 
prevented its recurrence. The next day nux vom. 
was administered. The child, in a few days, ac- 
quired a much brighter complexion, and became 
more animated than it had ever shown itself before. 
No return of the fever. J. 



230 FEBRIS. 

Menyanthes. F. i. with coldness in the abdomen. 

Mezereum. F. i. Tertiana. 

F. i. Severe chill for several hours, with coldness 
of the body, icy coldness of the hands and feet, and 
thirst. After the cessation of the chill, sleep for 
many hours, with sweat. In the apijrexia. — Great 
paleness of the face; dull, pressing headache; want 
of appetite; distension and hardness in the region 
of the spleen, with pressing pain ; sensibility to cool 
air; general weakness. 

Nux vomica. F. i. Quotidiana. Tertiana. Morn- 
ings afternoon and evening; fevers. 

F. i. Chill, with or without external coldness, 
and without thirst; then heat with thirst, and with 
or without subsequent sweat. The chill is often 
trifling, a mere chilliness; but more frequently it is 
severe and long continued, a shaking chill, with 
chattering of the teeth, and blueness of the nails. It 
may be preceded by internal and external coldness of 
many parts in succession, and gaping. The heat is 
mostly great and long continued; at times accom- 
panied by cold sweat of the face. The thirst begins 
oftentimes with the heat, at other times it developes 
itself gradually. The sweat in the heat is sometimes 
partial, as on the head and neck. 

F. i. Chill (shaking chill) with thirst, then heat 
with thirst and sweat. The thirst is sometimes ob- 
served before the chill and through the whole fever; 
often only before the chill, and not in it, and then 
ao-ain in the heat. The coldness is increased after 
drinking. The sweat begins with the heat, or after 
the heat has continued for some time. 



FEBRIS. 231 

F. i. Alternation of coldness and heat. 

F. i. Heat cotemporaneous with coldness of the 
extremities. It is a frequent peculiarity of all these 
forms, that chilliness or chill is produced during the 
heat and sweat by the slightest movement. 

ACCOMPANYING DISORDERS. 

In the chill. — Pain in the loins. 

In the heat. — Headache; vertigo; redness of the 
face; vomiting of water, bile, mucus and the ingesta; 
red urine ; pain in the breast. 

In the apyrexia. — Headache; pain in the forehead 
as if the brain would fall out; vertigo; salivation; bad 
taste in the mouth ; acrimonious taste of the food and 
drink; acid eructation; want of appetite; dislike of 
food; much thirst; after eating, pressure, and con- 
stantly some pain in the epigastrium; pain in the 
abdomen; movement upwards in the abdomen; flatu- 
lent distension, with anxiety; costiveness; after urina- 
tion, pressing in the bladder; drawing in all the 
limbs ; weakness in every degree. 

Immediately after the chill. — Rushing in the head. 

Opium. F. i. Quotidiana. 

F. i. Severe shaking chill in the forenoons, then 
sleep, with heat and subsequent sweat; after awaking, 
headache and general debility. 

. Pulsatilla. F. i. Quotidiana. Tertiana. Quartana. 
Evening fevers and relapses after cinchona. 

F. i. Chill without thirst; then some thirst, 
(drinking once or twice,) and then some heat without 
thirst. 

F. i. Chill with dryness of the mouth, without 



232 FEBRIS. 

much thirst; then great and long continued heat, 
with little thirst; afterwards a slight sweat. 

F. i. Chill; then burning heat with thirst; after- 
wards a slight sweat. 

ACCOMPANYING DISORDERS. 

In the heat. — Vertigo; much headache; pain in the 
left side of the abdomen. 

In the apyrexia. — Bitter and putrid taste in the 
mouth; want of appetite; hard, red tumefaction, first 
of one and then of the other breast in alternation, 
with beating and sticking pains; great debility; little 
sleep. 

Rhus. F. i. Tertiana. Tertiana duplicata. 

F. i. tertiana duplicata. Beating pain in the 
temples, and slimy mouth; then chill, extending from 
the sacrum and thighs over the whole body, with 
pain in the right hip and calf, as after fatigue, and 
tearing in the left leg, with thirst; then general 
warmth, with chilliness by every motion, and then 
sour sweat. There was, besides, sallowness of the 
face; ringing in the ears; hardness of hearing; stop- 
page of the nostrils ; sleeplessness. 

F. i. tertiana with urticaria, (erysipelas?) which 
disappeared after the paroxysm, and left, during the 
apyrexia, only a burning and redness of the eye. 

Sabadilla. F. i. Quotidiana. Tertiana. Quartana. 

F. i. Chill with little or no thirst; then heat with 
little thirst, and then sweat, which may be consider- 
able and long continued. 

F. i. Chill, with intermixed heat; little thirst, and 
chilliness throughout the apyrexia. 



FEBRIS. 233 

F. i. Daily, and also at night, yet more severely 
every other day; twelve to eighteen paroxysms of 
shaking of all the limbs, as in the most severe shaking 
chill, so that the patient cannot stand, and can 
scarcely speak without a feeling of chilliness, but 
with external coldness; then heat, with some thirst 
and with sweat. 

ACCOMPANYING DISORDERS. 

In the chill. — Pain in the upper ribs; dry, spas- 
modic cough ; tearing in all the limbs and bones. 

In the heat. — Yawning and gaping. 

In the sweat. — Sleep. 

In the apyrexia. — Want of appetite; troublesome, 
pressing distension of the stomach; pain in the breast; 
cough; weakness; chilliness. 

Sambuc. F. i. In a case where, throughout the 
apyrexia, there was profuse, debilitating sweat. 

F. i. In a case where there was an excruciatingly 
painful sensation of pinching in both mammae, but 
most in the left, during the chill; the sambucus re- 
moved this symptom, and abated the violence of the 
succeeding paroxysms. J. 

Sepia. F. i. quotidiana, with cotemporaneous per- 
tussis; fever attended with very great thirst. Sepia 
cured the fever, and abated the cough. 

Sodce niur. F. i. Mostly in tertian fevers, with 
anticipating paroxysms, also in quotidian fevers, and 
in such as attack now at this now at that time of the 
day or night, frequently in very inveterate cases, and 
in relapses after cinchona. 



234 FEBRIS. 

F. i. Chill with little or no thirst; then heat with 
much thirst. Sometimes great thirst appears when 
the chill is pretty well over, and continues in the 
heat. 

F. i. Chill, with (at times very great) thirst; then 
(mostly great) heat, with (mostly very great) thirst. 
The thirst often continues throughout the apyrexia. 

F. i. quotidiana. Slight and short chill, without 
any thing else. Sweat partly during the heat, and 
partly after it. 

ACCOMPANYING DISORDERS. 

Before the chill — Headache. 

In the chill — Sticking headache; short breath; 
pain in the back, (continuing in the heat) ; tearing in 
the bones; gaping and sleepiness. 

In the heat. — Indescribably severe, tearing, stick- 
ing, beating headache, frequently in the forehead, 
which is, at times, present in the chill, and frequently 
continues after the paroxysm, throughout the whole 
apyrexia. In one case, where, after severe chill, 
almost no heat ensued; the headache appeared to 
take the place of the heat. Confusion in the head; 
pain in the back; tearing in all the bones. 

In the apyrexia. — The above mentioned headache; 
immediately after the heat, long continued headache; 
weakness of the eyes ; bilious colour of the face ; white 
coated tongue; bad taste; bitterness in the mouth; 
great thirst; little or no appetite; pressing as from a 
lump in the stomach, with tumefaction in the region 
of the stomach; pressing in the epigastrium, with 
pain upon pressure; costiveness; short cough; no 
sleep at night; sleepiness in the daytime; debility. 



FEBRIS. 235 

Staphysagria. F. i. Evening chill, without sub- 
sequent heat. 
F. i. tertiana, with scorbutic affections. 

Sulphur. F. i. quotidiana. Chill now in the fore- 
noon, now in the afternoon ; previously to the chill, 
thirst with much drinking. Thirst also in the 
heat. Vertigo; much headache; bitter taste; great 
debility; night sweat; cutaneous eruption with much 
itching. 

Thuya. F. i. Paroxysms of chill, with external 
and internal coldness and sweat, without heat. In 
some cases, thirst during the chill. 

Valeriana. F. i. without a cold stage, only heat 
with thirst and confusion of the head. 

Veratrum. F. i. Quotidian. Tertian. 

F. i. Chill, then warm sweat, which soon changes 
into cold. 

F. i. Severe shaking chill; then heat with some 
thirst and some sweat. 

F. i. Chill with much thirst; then alternate chill 
and heat, and then heat alone with thirst; afterwards 
sweat. 

F. i. Chill at night, without any thing else, as a 
remnant of other forms of fever. 

ACCOMPANYING DISORDERS. 

In the chill. — Vertigo; nausea; intolerable pain in 
the loins and back. 

In the heat. — Delirium, redness of the face, and 
constant slumber. 



236 FUNGUS MMATODES. 

In the apyrexia. — Immediately after the fever, un- 
commonly strong appetite. 



FUNGUS 1LEMATODES. 

An elderly negro man, in Surinam, had a bleeding 
tumour on his knee, which was removed by excision. 
Some time afterwards, a tumour formed on each hip, 
near the trochanter major. That on the right was 
much larger than the one on the left hip. Two years 
and a half after the operation, it had a diameter of 
four inches, was of a conoidal shape, slightly moveable, 
hard, elastic, of the natural temperature and without 
pain or pulsation. After being ruptured by a blow, 
it bled slowly, but almost incessantly, and became 
slightly painful and somewhat warmer. On wiping 
the blood, which was apparently venous, from the 
opening, "the structure of fungus haematodes could 
be clearly discerned." Cinchona 1|12 and shortly 
afterwards, phosphorus 1|30 were given. About the 
same time the patient filled the wound with tinder. 
The tumour continued to increase in size, as also did 
a fungous growth from the opening, which had 
made its appearance previously to the administration 
of the medicine, and the hemorrhage was consider- 
able till the fourteenth day, when there was a slight 
fever, which disappeared without medicine. After 
this period, the tumour began gradually to diminish 
in size, and the hemorrhage ceased until the thirtieth 
day, when it again occurred suddenly, but soon 
ceased of itself. After the second or third week, the 
patient being very much debilitated, was allowed to 
take a glass of wine occasionally. The tinder re- 



GASTRITIS. 237 

mained adherent in the opening, until after the 
fiftieth day. On the sixtieth day the wound was 
unclean, of a bad odour, and again bled a little, 
but the tumour had greatly diminished, as also had 
that on the left hip. By the eightieth day the im- 
provement had advanced much farther, which ad- 
vancement was attributed by the patient to a common 
adhesive plaster, which had been applied to gratify 
him with an idea of active local treatment. By the 
ninetieth day, there only remained an indurated 
cicatrix. The induration gradually diminished, and 
at the expiration of four months had entirely disap- 
peared. 

For other cases of this disease, see fungus nema- 
todes oculi; in the article on the eye and vision. 



GASTRITIS. 

Inflammation of the stomach. 

It has been recommended to commence the treat- 
ment of acute gastritis with the exhibition of repeated 
doses of aconit, following this with the remedy which 
is best adapted to the remaining symptoms. The 
medicines which are most likely to be demanded, are 
bryonia and nux vom., but others may sometimes be 
required. For instance, when the fever approximates 
to a typhus, or where the burning in the stomach has 
been considerable from the commencement of the 
attack, arsenicum, euphorbium, ranunculus or can- 
tharides may be necessary; the arsenicum is par- 
ticularly important under these circumstances, when 
there is a rapid sinking of the strength. If the thirst 
is great, and there is difficult deglutition of fluids 



238 GONORRH(EA. 

from spasmodic affections of the muscles of the throat, 
accompanied by a sensation of burning rising in the 
throat; hyosciamus, stramonium, cantharides or bella- 
donna may be indicated. 

In the only case which I find recorded, the practice 
of first administering the aconit. does not appear to 
have been pursued. Arsenicum gtt. i. 30 was first 
given, and after twelve hours, colocynthis gtt. i. 30, 
which was repeated after sixteen hours. The symp- 
toms were severe burning pain in the epigastrium, 
where not even the pressure of the shirt could be 
borne. All the ingesta immediately vomited up. 
Pulse small and rapid. Anxious restlessness. 



GONORRHOEA. 

In the treatment of gonorrhoea, it is generally con- 
sidered proper to give the remedies in the lower 
dilutions. The medicines which have been found 
most important in this disease, are cannabis, can- 
tharides, mercurius, petroselinum and thuya. Of 
these, the thuya is indispensable in the gonorrhoea of 
sycosis; the petroselinum is particularly useful where 
the urinary pressure is very frequent; the cannabis, 
cantharides, mere, or thuya, when the disease is at- 
tended with chordee, and cannabis or mercurius 
when there is phymosis or paraphymosis. But it 
should be understood, that the usefulness of these re- 
medies is not confined to those cases in which the 
symptoms, just mentioned, are present. 

It has been recommended to give aconite when 
the disease is attended by chordee, and the inflam- 
matory action is violent, and to follow this, in suitable 



gums. 239 

cases, with sulphur. But it is most probable that 
this will prove a useless waste of time, inasmuch as 
the inflammation is the consequence of a specific 
irritation, and but little or merely temporary benefit 
can be expected from any remedy which is incapable 
of diminishing that irritation. 

In addition to the remedies above named, acid, 
nit., capsicum, copavise balsamum, cubebae, ferrum, 
ledum, petroleum, pulsatilla and stramonium have 
been found useful. 

In gonorrhoea glandis, mercur., sodse mur., cinna- 
bar, mezereum, sulphur and thuya have been re- 
commended. 

(In a case of G. glandis, which was of several 
months' duration, and had returned, after a temporary 
suppression by means of astringent lotions, and was 
complicated with enlargement of one of the testicles, 
I effected a permanent cure with two or three doses 
of cinn., given daily. Green.) 

Gonorrhoea mucosa. Gleet. In those chronic 
forms of gonorrhoea to which these terms have been 
applied, the preceding remedies will often be found 
useful. But some of the following will be frequently 
necessary. Acid, nit., conium, lycopod., sepia, sodse 
mur., sulphur. 



GUMS. 

In inflammation and tumefaction of the gums, 
aeon., bell., cham., puis., nux vom. 

A fungus on the gums, of the size of a walnut, was 
cured by two doses of staphys. 

In swelling of the gums, calcis sulph., mere, nux 



240 HEMORRHAGIA. 

vom., sulph., agar, and alum, may be used according 
to the indications of each particular case. 

In cases of retraction of the gums from the teeth, 
mere, carbo veg., calcis sulph. and acid phosph. are 
recommended. 

When the gums become spongy, mere, tereb. 

Where there are frequent and troublesome dis- 
charges of blood from the gums, carb. v., mere, nux 
vom., acid, phosph., soda? bor., tereb., and arsen. are 
worthy of attention. 



HEMORRHAGIA. 

Hemorrhages. 

Under this head will be contained all the most im- 
portant hemorrhages, in which the blood finds an 
exit from the body, except those arising from wounds 
which require the application of the proper surgical 
means for their suppression. In internal hemor- 
rhages, whether into the cavities of the body or into 
the texture of its organs, our knowledge of the means, 
which will arrest its progress, is very limited, and 
must probably remain so, from the concealed cha- 
racter of the disorder. But it appears probable that 
where the hemorrhage arises from mechanical injury, 
arnica may sometimes check its progress. And 
where the internal hemorrhage is not of such a 
nature as to lead to the inevitable destruction of 
life; this remedy has the confidence of many ho- 
moeopathic practitioners, as an agent capable of ex- 
pediting the absorption and removal of the effused 

blood. 

I shall treat of hemorrhages in the following order : 



OPHTHALMORRHAGIA. 241 

ophthalmorrhagia; epistaxis; ha3matemesis ; haemop- 
tysis; metrorrhagia; hsematuria. 

OPHTHALMORRHAGIA. 
Bleeding from the eyes. 

Case. In a child three weeks old, whose parents 
were healthy. It had suffered for two weeks from a 
violent diarrhoea; could not open its eyes on account 
of swelling of the lids, which adhered together. When 
the lids were forced apart, blood was seen on the eyes 
and inside of the lids. Blood flowed continually from 
the eyes, but most freely when the child cried. Hash 
on the body, but most on the cheek, where the cuticle 
was wanting, which probably arose from the copious 
discharge of blood from the eyes, (from an acrimo- 
nious quality of the discharge?) Chamomilla gtt. i. 
12 was given. In about an hour a beneficial sleep 
occurred, which continued for three hours. It awoke 
much improved. Stools speedily improved in quality 
and became less frequent. The swelling of the eye- 
lids and hemorrhage somewhat diminished. On the 
third day bellad. 30 was given, and in two days the 
eyes were perfectly well. 

Case. In a child six weeks old, of unhealthy 
parents. Deprived of the breast at two weeks; was 
fed upon biscuit broken into coffee, and for drink had 
coffee with milk. For two weeks the child remained 
tolerably well, but after this time, restless sleep, con- 
stipation, ischuria and other affections. In the sixth 
week, frequent flow of blood from the eyes; tume- 
faction of the eyelids, which were not so much 
swollen but that the child could partially open the 
eyes. The vessels of the sclerotica were dilated, and 
16 



242 HEM0RRHAG1A. 

when the eyes were held for a length of time open, 
small, bloody points appeared on the eyeball, which 
gradually enlarging, became drops, which then ran 
down. Eructation after eating; flatulent colic; con- 
stipation for two or three days; when a stool occurred, 
the faeces were hard, discharged with great straining 
and accompanied by prolapsus ani. Nux vom. 30, 
with the necessary alteration of diet. In three days 
the child was well, and remained so. 

EPISTAXIS. 

Bleeding of the nose. 

Aconit. is indicated where there is general plethora, 
and increased excitement of the vascular system. 

Arnica has at times proved serviceable. 

Bellad. When the hemorrhage awakens out of sleep 
at night, and is accompanied by determination of 
blood to the head, and when it is excited by stooping, 
or strongly blowing the nose. 

Bryonia is useful under very similar circumstances 
to those in which bellad. is useful, and is especially 
indicated where the epistaxis arises from sudden sup- 
pression of the menses. 

Cina is serviceable when the epistaxis is symp- 
tomatic of worms in the bowels. 

Cinchona. When the hemorrhage appears to arise 
from relaxation of the vessels. 

Crocus. Where there is determination to the head. 
In a case where a thick black blood flowed in a 
stream, and the patient was so reduced, that he fell 
from one fainting fit into another. Crocus 1.6 stopped 
the epistaxis in a minute. It is also useful when the 
hemorrhage starts with violence, and the blood is of 
a bright red colour. 



HjEMatemesis. 243 

Moschus. Hartmann says he has conquered the most 
severe hemorrhages from the nose with moschus 3. 

Nux v. When the hemorrhage occurs in the 
morning, or where there is great cephalic congestion. 
It is a proper remedy where there is a flow of venous 
blood from the nose. 

Pulsat. When the hemorrhage attacks in the 
evening, or before midnight. 

Rhus. Under circumstances similar to those in 
which bellad. and bryon. are useful. 

In addition to the articles above mentioned, cham. 
and ignat. have also been recommended as suited to 
some cases. And where the disease frequently recurs, 
the following remedies have been found useful in 
removing the tendency to return. Sulph., ambra, 
graph., secale, sepia, lycopod., acid, nit., phosph., 
silex, carbo veg. 

HtEMATEMESIS. 
Melaena. Morbus niger. Vomiting of blood. 

This disease is generally preceded by gastric or 
hepatic derangement, or both, and frequently re- 
quires a succession of remedies, in order to remove 
the morbid conditions from which it springs. 

Case. In a man set. 60 ann. Vomiting of black 
blood in large quantities. Great debility. A burn- 
ing feeling in the region of the stomach. Pulsation 
at the epigastrium, and anxiety. The slightest move- 
ment excited nausea. Loss of appetite ; great thirst. 
Stools of black, coagulated blood. Cinchona benefited 
but little. Arsen. 2|30 produced a steady and gradual 
improvement. After fourteen days the pulsation and 

16* 



244 HEMORRHAGIA. 

burning feeling at the epigastrium continued the 
same. Calcis carb. improved it very much, and 
carbo veg. completed the cure. 

Another case, in a man set. 50 ann., was treated 
successfully with nux v., bellad. and stannum, and the 
patient felt better than he had done for years. After 
some years, the disease reappeared, and these reme- 
dies only operated palliatively. The patient was 
rescued by treatment with the antipsorals. 

Case. A woman set. 72 ann., of arthritic habit, 
subject to erysipelas of the face and frequent dys- 
peptic symptoms, was attacked with vomiting and 
purging of blood in pitch-black masses. Her coun- 
tenance was sunken; epigastrium painful and tumid; 
pulse weak and small; extremities cold. Ipecac 4|6 
was given. In a quarter of an hour slight vomiting, 
and a stool of the same kind as before. But after- 
wards she felt easier, and on the next day was still 
better. Ipecac, was repeated. On the next day 
there was a return of a cough and dyspnoea, to 
which she was subject; her tongue and throat were 
dry, yet she had no thirst. Bellad. 2|30 was then 
given. The dryness of the tongue and the sensation 
of pressure at stomach disappeared. Subsequently 
for the debility, cinch. 2|12 was exhibited, and she 
speedily recovered. 

Case. A woman set. 50 ann., with whom the 
catamenia had ceased for years, was attacked with 
burning in the abdomen; and a return of the cata- 
menia; and subsequently with a vomiting of blood. 
A drastic cathartic, administered by a quack, produced 
copious stools of blood. Ipecac. 3|30, in a dram of 
water, was given in the dose of ten drops every three 
hours. With every dose she felt herself better, and 



HEMOPTYSIS. 245 

the vomiting soon ceased. After two days cinch. 
2|30, and speedy restoration of strength. 

Nux v. is an important remedy in this disease 
when it occurs in plethoric habits and there is a 
tendency to constipation, or where chronic affections 
of the stomach have long preceded it. 

Arnica mont. in strong robust constitutions of 
sanguineo-choleric temperament when the discharge 
consists of a dark fluid blood, and the patient com- 
plains of a bruised feeling in all his limbs. 

Hyosciamus is a valuable remedy in hsematemesis, 
where the discharged blood is of a bright red colour. 

A case of melsena was treated successfully with 
aconit. 30, and nux vom. 3|30. For remaining dys- 
peptic symptoms, pulsat. was afterwards given. 

Veratrum 3|12 cured vomiting of black blood. 

Besides the above named remedies, the following 
are mentioned by Hartmann. Millefol., canth., mezer., 
phosph., sod® mur., cicuta, sulph., lycopod., zinc. 

HEMOPTYSIS. 
Spitting of blood. 

Aconit. " Where a sensation of motion, or bubbling 
in the breast, and of fulness and burning, with pal- 
pitation of the heart, anxiety and restlessness pre- 
cede and accompany the haemoptysis, in which the 
blood is brought up at intervals, and in large quan- 
tities by hawking, the pulse is weak, thread-like and 
scarcely perceptible, and the countenance pale and 
anxious, aconit. is the proper remedy, and should be 
repeated as soon as the beneficial action of the first 
dose ceases. When the aconit. causes a cessation of 
the hemorrhage, but the accompanying symptoms 
still remain, ipecac, may be given." (Hartmann.) 



246 HEMORRHAGIA. 

Arsenic. When the anxiety, the motion or bub- 
bling, and the palpitation of heart, still continue, after 
the treatment just mentioned, or where these are 
worst in the middle of the night, awaken the patient 
from sleep, and a burning heat extends itself over the 
whole body, and the patient feels compelled to sit or 
even to stand up, arsen. 1|30 should be given. But 
this medicine should not be repeated without an in- 
tervening remedy between the different doses, as its 
immediate repetition is not attended in this disease 
with the same advantage as is observed from it in 
some other diseases. 

The preceding remarks are derived from Hart- 
mann, and the caution which he suggests against the 
repetition of the arsenic, without the intervention of 
some other remedy, is confirmed by a case in my own 
practice. 

Case. In a man set. 24 ann., who had been un- 
healthy for more than a year, and for the last three 
months had daily expectorated more or less blood. 
"When I first saw him, he was almost continually 
coughing, and expectorating freely blood somewhat 
florid in its appearance. The vessel into which he 
spit, contained at least half a pint of this blood, which, 
though thick, did not appear to have much tendency 
to coagulate. The cough was convulsive, and of a very 
shrill sound, resembling the crow of a hen (kikikikih). 
The strength of the patient was much reduced, his 
appetite much impaired, his pulse weak and feeble, 
and his sleep at night very much interrupted, if not 
entirely prevented by his cough. Although he had 
been taking medicines up to the time at which I saw 
him, I did not hesitate to administer immediately ar- 
senicum 2|30, though with such small hope of being 



HiEMOPTYSlS. 247 

able to afford him much relief, that I gave him per- 
mission, in case he did not, in a few hours, expe- 
rience some relief, to continue the employment of some 
pills, which were probably of an anodyne character. 
It was evident that these pills afforded no positive 
benefit, yet I thought it probable, that he might ex- 
perience inconvenience from the sudden withdrawal 
of an opiate to which he had been for some time ac- 
customed. At my visit, the next forenoon, his mother 
remarked, that he now slept without moaning, which 
he had not done for three months until the last night. 
In the course of a few hours after taking the arseni- 
cum, he had felt a little better, and had not taken his 
pills. His cough and bloody expectoration, though 
less frequent, still continued. On this account I re- 
peated the arsen.; but the effects were far from 
satisfactory. Neither on the next, nor the two fol- 
lowing nights, did he rest as well as he had done on 
the first night, and he was, besides, troubled with 
pains in the epigastrium, the right hypochondrium, 
and about the lumbar vertebra. It was not until the 
fifth night that he rested as well as he had done on 
the first night. The haBmoptysis gradually dimin- 
ished, but did not entirely cease till after the tenth 
day. By the fourteenth day, his appetite and strength 
had considerably improved, and his cough was much 
less shrill. The sputse appeared to consist of a white, 
opaque mucus. The improvement then continued 
progressive till the end of the fifth week, when his 
cough became more convulsive, shrill and frequent, 
and continued for two days to grow worse, when the 
arsenicum was again administered. For two days 
he suffered, but not so severely, from similar pains 
to those which he had after the second dose of this 



248 HEMORRHAGIA. 

medicine. But he afterwards improved so rapidly, 
that by the eighth week week he was able to ride 
out. The improvement afterwards continued to ad- 
vance, but at intervals of one or two days or a week 
he would cough up small quantities of a dirty white, 
or pale yellow mucus, or mucus mixed with pus, 
showing plainly the existence of a small abscess 
which discharged its contents thus seldom. He has 
now driven my carriage for eight months, and was 
exposed both in the night and day to the severe 
weather of last winter, and has continued to improve 
in his general health, though the abscess continues 
occasionally to discharge small quantities of matter. 
As the chief pain of which he complains, and that is 
neither constant nor very severe, is in the right hy- 
pochondrium, and as, on several occasions, the dis- 
charge of the matter appeared to have been excited 
by leaning forward and pressing his side against his 
arm while this rested on his thigh, as also from the 
quality of the matter discharged, which nearly re- 
sembled a pasty mass which I once found adhering 
to parieties of a cavity in the liver. I have considered 
it to be most probable that a small abscess of the 
liver has opened a passage through the diaphragm 
and into the lungs. There are other circumstances 
which confirm this supposition, namely; some time 
before the attack of haemoptysis, he had for two 
months a diarrhoea, with copious bloody discharges 
from the bowels. At the end of this time, he had an 
attack of violent pain in his right side, and cough, 
which was pronounced by the physician who at- 
tended him, to be a pleurisy. He was treated by 
bleeding, blistering, &c. During the treatment, the 
hemorrhagic diarrhoea ceased. After some time the 



HAEMOPTYSIS. 249 

pain in the side abated, but he began to expectorate 
matter, and continued to do so for a considerable 
length of time before the expectoration became hemor- 
rhagic. The inferences which I deduce from these 
facts, are : that the hemorrhage from the bowels was 
either directly or indirectly connected with the ab- 
scess of the liver; in other words, that the blood was 
effused in the cavity of the abscess, and passed from 
thence either by a direct opening or through the 
hepatic ducts into the bowels ; or that the hemorrhage 
was, like the hemorrhoidal flux, sympathetic with 
the disordered condition of the liver; and that the 
pleuritis was the consequence of the extension of the 
abscess to the pleura. That it was not a metastasis 
of diseased action appears evident from the fact, that 
there was no diminution of the diarrhoea previously 
to or in the early stages of the inflammation of the 
pleura. But it ceased during the treatment, and its 
cessation was attributed by the patient to the applica- 
tion of a sinapism over the right hypochondrium. It 
is almost certain that the temporary suppression of 
the hemorrhagic tendency was effected by the agency 
of some of the remedies at that time employed, and it 
is quite possible that the sinapis may possess this 
power. I have been thus minute in the detail of this 
case, because, while it exhibits the powerful curative 
action of the arsen., it may, when compared with 
other cases, guide to a more accurate knowledge of 
the pathological conditions in which this remedy is 
applicable. I have only to add, that during the 
eight months, in which the patient has been in my 
employ, I have used several other remedies for the 
completion of the cure, but without any very striking 
effects from any but the acid, phosph., which caused 



250 HEMORRHAGIA. 

the disappearance of a light, white, flocculent sedi- 
ment from this fluid. Three or four times there has 
been a slight return of the hemorrhage, which has 
always yielded speedily to the arsenicum. It is 
proper to remark, that from the latter doses of this 
medicine, the same unpleasant circumstances did not 
occur, as from its first and second repetitions, a cir- 
cumstance which should, perhaps, be attributed to 
the improved state of his health, and the consequent 
more powerful reaction of the system against the 
pathogenetic operations of the medicine. J. 

Arnica. Not only in cases of haemoptysis, from 
mechanical injury, to which it is peculiarly adapted, 
does arnica operate very beneficially. But it is also 
useful when fluid blood of a dark colour is discharged 
without much exertion or cough, and there are stitches, 
burning, motion, agitation or bubbling, and constric- 
tion in the chest; palpitation of heart, debility, and at 
times syncope. 

Also where a frothy, bright-red blood, sometimes 
mingled with small coagula and mucus, is thrown 
up by a slight cough, the irritation to which is felt 
under the sternum. 

Belladonna is a good intermediate remedy in hae- 
moptysis attended by the greatest exhaustion and a 
continual tickling irritation to cough, which is felt in 
the trachea, especially when the following symptoms 
are present. Great shortness of breath, with a con- 
stant short cough, anxiety, restlessness, strong and 
rapid pulsation of the heart, burning heat, great 
thirst and symptoms of determination of blood to the 
head. 

Crocus has proved useful in haemoptysis. 

Digitalis proved serviceable in haemoptysis from 



HEMOPTYSIS. 251 

being much overheated, and unconnected with any- 
peculiar feeling in the breast. 

Ferri acet. Where there is a jaundiced tint of the 
skin, considerable dyspnoea, especially at night, slight 
cough and expectoration of pure blood, though not in 
large quantities, ferri acet., in the lower dilutions, is 
useful. 

Ledum. In a case of a cachectic young woman of 
choleric temperament. The attacks of haemoptysis, 
of which she had had several, were suspended, after 
the ordinary treatment, for six, eight or twelve weeks. 
In the attack, for which she was homceopathically 
treated, her respiration was short and oppressed; 
she had constriction of the breast, which was in- 
creased by every movement; loud, 'hollow-sounding 
cough, which caused a painful sensation of shattering, 
and was attended by the expectoration of large quan- 
tities of bright-red blood; violent beating headache; 
tumid face, alternately red and pale; tinnitus aurium 
and dyseccea; tickling in the trachea; soreness under 
the sternum ; constipation ; sensation of fulness in the 
upper part of the abdomen ; oedema of the feet and 
legs ; troublesome drawing in the limbs whilst lying 
still ; sensation of great heat through the whole body, 
alternating with moderate perspiration; rapid, full 
pulse; general debility and depression of spirits. 
Aconit. and nine hours afterwards a dose of ledum 
were administered with such good success, that on 
the following day there was no haemoptysis, and by 
the third day the patient could perform her house- 
hold duties. A year afterwards there had been no 
return of the hemorrhage. 

Ledum is also useful, where, with a severe cough, 
there is a copious discharge of bright red-blood; a 



252 HEMORRHAGIA. 

wheezing and rattling sound in the trachea, and a 
fixed burning pain in some spot in the breast. 

Millefolium. Case. Every evening a sensation of 
motion in the breast, which was followed by a flow 
of warm blood into the throat and from the mouth ; 
then cough, with bright-red, bloody expectoration. 
Great debility. Millefol. gtt. i. 3 suppressed the 
haemoptysis, and cinchona 6 removed the debility. 

Pulsatilla cured a haemoptysis which returned 
every three months after the cessation of the menses. 
Incessant cough and expectoration of thick black 
blood, most at night; tightness of the breast; stitches 
in the left side of the breast; continually cold feet. 

Rhus. In the case of a man set. 60 ann., who had 
suffered for many years from frequent attacks of 
haemoptysis. His last attack, which had endured for 
three weeks, when he placed himself under homoeo- 
pathic treatment, had not been in the least benefited 
by the ordinary treatment. When he coughed, there 
was a feeling of warmth rising out of the breast, 
and expectoration of a quantity of bright red blood, 
and, at the same time, a painful feeling in the lower 
part of the breast, just above the epigastrium. The 
haemoptysis occurred generally four or five times a 
day, and if it intermitted for a day, which seldom 
happened, it was much worse on the next day. 
Sometimes the discharge amounted to a pint. During 
the absence of the hemorrhage, he had a feeling of 
peculiar weakness about the heart, as if it were in a 
tremulous movement, combined with anxious oppres- 
sion at the breast, and these feelings were the most 
sensible immediately after the haemoptysis. Although 
food had its proper taste, he had no appetite, and the 
eating of even a small quantity caused a sensation of 



METRORRHAGIA. 253 

pressure in the epigastrium. He complained of heat 
and sweat, and was disposed to chills. He was cos- 
tive, weak, and emaciated. Rhus gtt. i. 12 was 
followed by a violent paroxysm of coughing, and a 
considerable discharge of blood. The hemorrhage 
did not subsequently recur. Fourteen days after- 
wards cinchona was given on account of the debility. 
The patient remained well. 

In addition to the remedies above mentioned, the 
following have also been found useful; namely, acid, 
sulph., drosera, lycopod., plumbum, potassm carb., stan- 
?ium, carbo veg., phosphor., ammonice carb., calcis carb., 
sepia, magnesia carb., sabina, bryonia, dulcamara. 

METRORRHAGIA. 

Hemorrhagia uterina. Uterine hemorrhage. 

Uterine hemorrhage differs in its character and 
treatment according as it happens in the unimpreg- 
nated or gravid uterus, or immediately after parturi- 
tion. I shall, therefore, treat of it under the divisions 
of M. menstrualis, M. gravidarum, and M. lochialis. 

Metrorrhagia menstrualis. It frequently occurs 
that instead of the proper menstrual secretion, an 
actual hemorrhage takes place at the menstrual 
periods. The fact is to be ascertained by the coagu- 
lation of the discharge, which never happens in per- 
fectly healthy menstruation. The quantity of the 
discharge may be but little greater than in the 
healthy condition, but it is generally more profuse, 
and mostly recurs every two weeks or even oftener. 
As the hemorrhage arises from a morbid performance 
of the function of secretion, it is not surprising that 
it should be accompanied with considerable pain. As 
far as my experience extends, this is always the case. 



254 HEMORRHAGIA. 

Bettad. Hemorrhagic discharge at the period of 
menstruation. Blood bright red. Also when the 
metrorrhagia occurs after heavy lifting, with pain 
in the lower part of the abdomen; pulse full and 
hard. 

Bryonia. In a case w T here there was constant 
bloody discharge for some months, but every three 
weeks a true metrorrhagia. By the eighth day after 
the bryonia, the discharge had entirely ceased, and 
menstruation was afterwards normal. 

Cham. At the time of menstruation, discharge of 
large black coagula. 

Crocus. Continual discharge of black, fetid blood. 

In a case where the discharge consisted, some- 
times, of thick, black blood, at other times, of black 
coagula, and at times of a bloody water. Croc. gtt. 
i. 1 effected a cessation of the discharge, but the 
menses recurred too copiously every two weeks. 
Platinum gr. 1.2, then given, was succeeded by nor- 
mal menstruation. 

In a case from over exertion in dancing and the 
use of stimulating drinks during menstruation; ex- 
cessive uterine hemorrhage. Patient exsanguine in 
appearance, and fainting on being moved. Blood 
black and fetid; croc. gtt. i. 3. In an hour and a 
half diminution of the hemorrhage and continued 
improvement. 

In two of the above cases there was a sensation of 
motion in the umbilical region as if there w r as some 
living thing there. 

Ferrum. In a case where a metrorrhagia com- 
menced during menstruation, and continued for a 
long time. The discharge ceased in one night after 
a dose of ferrum. 



METRORRHAGIA. 255 

Ipecac, gtt. i. 1 cured a metrorrhagia which had 
continued for nine months in an unmarried female. 

Secale corn. In several cases where there was a 
hemorrhage from the uterus every two weeks, dis- 
tinguished from the menses by coagulation. At- 
tended with pains in the sacrum, pains shooting 
down the thighs, and bearing down pains in the 
lower part of the abdomen. Secal., in the lower 
dilutions, has generally benefited very much. Also 
in cases of chronic metrorrhagia attended with the 
same pains. Under the operation of the secale, the 
pains often entirely subside some time before the 
complete cessation of the discharge. In the case of 
a married woman where the hemorrhagic action oc- 
curred every two weeks, conception took place shortly 
after the suppression of the hemorrhage by the secale, 
and gestation was normal throughout. J. 

Metrorrhagia gravidarum. This form of uterine 
hemorrhage is a symptom of the commencement or 
progress of abortion. The remedies are, therefore, 
those which are most capable of arresting that pro- 
cess, and will be found under the article abortion. 
The judicious practitioner will understand that these 
remarks do not apply to the profuse hemorrhages of 
advanced pregnancy, which arise from placental pre- 
sentation, and are, fortunately, not very frequent. 
Rut little is to be expected from medicines in these 
cases, where every thing depends on the skill and 
judgment of the obstetric practitioner. 

Metrorrhagia lochialis. In the rapid and for- 
midable hemorrhages which so frequently occur after 
parturition, it is unsafe and inexcusable to delay, for 
any considerable length of time, that manual assist- 
ance, which, if timely afforded, may save the patient 



256 HEMORRHAGIA. 

from an excessive loss of blood and consequent slow 
convalescence, or even from death ; in the endeavour 
to check the hemorrhage by means of medicines, 
whether these be given in large or infinitely small 
doses. But where the hemorrhage is neither violent 
nor attended with much exhaustion, medicines may 
be advantageously administered, for though a less 
certain, they are a less painful means of arresting the 
waste of the vital fluid and inducing tonic contrac- 
tion of the uterus than manual assistance; and when 
they are rightly given, may prevent the necessity of 
a resort to the latter. 

Bellad. "When the blood discharged is neither 
very dark nor very bright red, and there is a continual 
downward pressure of the internal organs of genera- 
tion, as if a prolapsus of these was about to take place, 
and, at the same time, violent pains in the sacrum. 

Bryonia. When the blood flows away of a dark 
red colour, and there are severe pressing pains in the 
sacrum, and pain in the head, especially in the 
temples. 

Cham. When dark coloured and coagulated blood 
is discharged at intervals; there are labour pains in 
the lower part of the abdomen accompanying each 
discharge ; much thirst ; and coldness of the ex- 
tremities. 

Crocus. When the blood is black, clotted, tough ; 
and there are cutting pains in the lower part of the 
abdomen, extending towards the sacrum. In cases 
similarly circumstanced, otherwise than in the blood 
being of a bright red, sabina is the proper remedy. 

Hyosc. Where the commencement of the hemor- 
rhage is accompanied by spasmodic affections of the 
whole body or of single limbs, after which there is a 



HEMATURIA. 257 

stiffness of the joints. The bright red blood con- 
tinually flowing, but most during the spasms. The 
pulse slow, weak and intermittent. 

Ipecac. Where the hemorrhage only occurs on 
motion, and there are cutting pains about the um- 
bilicus, and pressure towards the uterus and anus. 
Chill, and coldness of the body, whilst there is a 
sensation of internal heat, rising towards the head. 
The ipec. should be frequently repeated. 

Platinum. In similar cases to those which are 
adapted to bellad., except that the blood is dark and 
thick, or even coagulated. 

In addition to the above, cinch., ignatia, mag. pol. 
aus., nux vom., miUefol,ferrum and rhatania deserve 
attention. 

HEMATURIA. 
Hemorrhagia urethralis, vesicalis et renalis. Bloody urine. 

Under this head I include all the hemorrhages 
which find their exit from the body through the 
urethra. It is true that we sometimes find, when 
the lesion is in this canal, that the blood flows away 
independently of urination. But even in urethral 
hemorrhage the discharge of blood is more or less 
combined with that of the urine. I shall therefore 
include this under a term, which, although it may not 
be exactly appropriate to all its cases, yet is so to 
many of them, especially those where the hemorrhage 
is so slight that the discharge only takes place on 
attempting to urinate, or where the performance of 
this function excites the hemorrhagic action, and the 
urine is in consequence mixed with and followed by 
a discharge of blood. 
17 



258 HEMORRHAGIA. 

Arsenicum effected the cure of bloody urination, 
complicated with pemphigus and hemorrhoids,. See 
arsen. in the article Eruptio cutan. 

Cannabis. A frequent pressure to urinate at night, 
with the discharge of small quantities of urine, and, 
at the last, of a few bloody drops; was cured by 
cannab. gtt. i. 3. 

Cantharides is an important remedy in hsematuria, 
and is useful not only when the hemorrhage arises 
from disordered action in the vessels of the bladder, 
but also when it springs from those of the kidneys 
and ureters. 

In a case where there was severe burning pain in 
the bladder and urethra during urination; and after 
it, with severe cutting and burning pain and con- 
tinual effort, the discharge of many drops of blood. 

In a case of hematuria after a gleet; where after 
connection, there was a continual discharge of blood, 
with severe cutting and burning, as well whilst uri- 
nating as at other times. 

Ipecac. Case. In a woman set 50 ami., after 
exposure to cold on a journey. Debility, vertigo and 
confusion of the head. Violent pain in the loins. 
Sensation of warmth in the abdomen. Towards 
evening, severe pain in the umbilical region and in 
the region of the bladder, with urinary pressure. 
Soon afterwards, discharge of severely burning urine, 
which was mixed with blood. At night frequent 
discharge of blood, coldness of the extremities ; heavi- 
ness of the head; nausea, and inclination to vomit; 
pressure in the epigastrium; a cure was effected with 
ipecac, gtt. i. 2. 

Lycopod. In the case of a man who had suf- 
fered under a severe hematuria for two months, large 



HEMATURIA* 259 

coagula being deposited from the urine, complicated 
with obstinate constipation and almost perfect pa- 
ralysis of the feet. Three doses of lycopod. 30, one 
every three days, effected a cure. 

Mezereum has frequently proved useful in heema- 
turia. 

Millefolium. In a case where, at intervals of four 
or six weeks, there were pains in the region of the 
left kidney, with chilliness. Considerable discharge 
of blood through the urethra, with painful pressure 
during its passage. The attacks continuing from 
live to eight days and then ceasing. Thuya and 
lycopodium both produced transitory improvement. 
The fourth of a drop of tr. millefol. effected a cure. 

Pulsatilla has been serviceable where there was 
hematuria with symptoms of the descent of renal 
calculus into the bladder. 

Mercur. In a case where there were burning pains 
at the mouth of the urethra, increased by urination; 
cutting pain below the umbilicus, extending itself 
into the loins, at night; scrotum drawn up, penis 
diminished in size; continual chilliness; pressure in 
the epigastrium after eating ; hematuria with burn- 
ing at the mouth of the urethra; frequent rumbling 
in the abdomen; drawing through both testicles, ex- 
tending to the abdominal rings : cramp and numbness 
in the right thigh, and in the right hand. Pulsatilla 
removed the pain, and mere, cured the hematuria. 

Uva ursi has proved serviceable in hsematuria, as 
have also the following remedies; scilla, calcis sulph., 
zincum, sulphur, calcis carb., conium, phosphorus. 



17* 



260 HEMORRHOIDES. 



HEMORRHOIDES. 

Hemorrhoids. Piles. 

Acid. mur. In a case where the tumours formed, 
at the anus, a round thick roll, which was divided by- 
fissures into three unequal parts. The tumours 
were bluish-red, hard, hot, shining, and very sensi- 
tive to the touch, with constant soreness and frequent 
sticking pain; acid. mar. gtt. ij. 3 removed the 
disease. 

Acid, nit., given during many months, subdued a 
hemorrhoidal discharge, and removed the tumours. 
Costiveness had been previously corrected by the use 
of nux vom. and ignatia. 

Ammonice carb. In a case, in a girl set, 4 ann. 
Hemorrhoidal tumour, which descended with every 
stool, and was mistaken, for a long time, for a pro- 
lapsus ani. It was easily replaced by pressure with 
the finger. Its descent was accompanied by some 
pain and considerable discharge of blood. After 
phosphorus had been employed with but little ad- 
vantage, ammonise carb. 1|30 dissolved in four ounces 
of water, of which a teaspoonful was given daily, 
almost entirely removed the disease in five weeks. 
The complaint had existed for some months. 

Arsenicum. In a case complicated with pemphi- 
gus. See arsen. in the article Erup. cutan. 

Belladonna is often productive of strikingly bene- 
ficial results in bleeding hemorrhoids which are at- 
tended by violent pain in the lower part of the back. 
In these cases it is sometimes advantageously em- 
ployed in alternation with calcis sulph. 

Carbo veg. In a case where the tumours were of 



HEMORRHOIDES. 261 

the size of the last phalanges of the fingers, and of 
a dark blue colour ; the stools accompanied by burn- 
ing pain, and discharge of blood; pain of the back 
and limbs; carbo veg. effected a permanent cure. 

Calais siclph. has been found useful in hemor- 
rhoidal affections. 

Ignatia is often of great service in the treatment of 
hemorrhoids. 

Lobelia inf. proved useful in a case of hemorrhoids. 
See lob. inf. in the article Dyspepsia. 

Nux vom. is very useful, in both bleeding and 
blind hemorrhoids, especially where these arise from 
indulgence in the use of spirituous liquors or of 
coffee; as also where they are induced by mental 
exertion, sedentary habits, foreign bodies or worms 
in the rectum, or pregnancy. 

In a case occurring after parturition, where the 
stools occurred only every three or five days, were 
hard and dry, and discharged with violent pressure, 
attended with a sensation of inaction, and an increase 
of the sticking pains in the rectum. With the stools, 
a discharge of pure blood, or of bloody mucus. At 
the anus, a hard, round, bluish-red roll. Constant 
pain in the lower part of the back, increased by 
motion. Tr. nux vom., given in repeated doses, ef- 
fected a cure. 

In a case of venous hemorrhoids, nux vom. 21 
effected a cure. 

Petroleum. Case. In a man, who had suffered 
under the following disease for fifteen months. Loss 
of relish for food, and, though at times a sensation of 
hunger, inability to eat much. Nausea after eating. 
Constant rumbling in the bowels, and a sensation as 
if the abdomen was empty and hollow. A short 



262 HEMORRHOIDES- 

time after eating, pinching and drawing pain in the 
abdomen, with frequent eructation, which caused 
temporary alleviation. Firm pressure on the epigas- 
trium afforded some relief. These pains endured 
from fifteen to thirty minutes. Bowels open only 
every other day; the stools hard, and forced away 
with great exertion. With the stools, there was a 
descent of venous hemorrhoids attended with con- 
siderable pain. Sometimes the tumours had burst 
and discharged much blood, after which he was 
easier for some days. He frequently suffered from 
difficulty in urinating; the urine would not flow 
freely, and he felt as if something pressed upon the 
neck of the bladder, and would not allow a passage 
to this fluid. Soon after going to bed at night, he 
felt a severe itching about the anus and sacrum, and 
was frequently forced to scratch himself sore. Sleep- 
lessness, or sleep interrupted by dreams. Emacia- 
tion. Disposition irritable, and spirits depressed. 
After graphit. there was a slight improvement of 
brief duration. Petroleum, aided by rigid attention 
to the diet, effected a perfect cure in four weeks. At 
the end of that time he could eat all kinds of food, 
drink brandy, felt himself as strong as before his 
disease, and had daily a normal stool. At the end of 
a year he still remained well. This case had been 
previously treated with medicines in large doses. 

Sulphur. In the case of a woman set. 25 ann., in 
whom the disease commenced with constipation, 
severe pain in the lower part of the back, sensation 
of fulness and downward pressure in the abdomen, 
loss of appetite, sleeplessness, chilliness, succeeded by 
heat towards evening. Afterwards there were added 
to the above symptoms, the descent of two small 



HEMORRHOIDES. 263 

hemorrhoidal tumours; severe periodic colic pains in 
the whole of the lower part of the abdomen; frequent 
retching without vomiting; a severe spasmodic pain 
extending from the region of the right kidney, in the 
course of the ureter, towards the pudendum, so that 
it was very similar to the pain attending calculus. 
Still later, appeared the following symptoms; a short, 
dry cough in the evenings, which caused pain in the 
region of the bladder and urinary pressure. Stran- 
gury; by the constant painful urinary pressure, 
which was combined with a prickling sensation, 
only a few drops of bloody urine could be discharged; 
whatever she eat was rejected after half an hour, by 
vomiting, attended with more or less pain; pulse 
frequent; disposition restless, fretful, and peevish, 
the spirits depressed. These symptoms disappeared 
in the order of their appearance after one twentieth of 
a grain of sulphur; but this disappearance was pre- 
ceded by a considerable homoeopathic aggravation 
of the pain. 

In a case attended by vertigo, cephalalgia, and 
weakness of memory; nausea, and disposition to vomit 
after eating ; colic pains, and a sensation of pressure 
in the region of the liver ; deficient appetite ; increased 
thirst; pain in the loins, and lower part of the back; 
itching about the anus; debility. The bowels were 
open twice in twenty-four hours; the stools hard, 
discharged with much painful exertion, and attended 
by the descent of venous hemorrhoids, which some- 
times burst. After aconit. gtt. i. 12, sulphur gr. i. 3 
was given, and effected a cure. 

The following remedies have also been found 
useful in the treatment of hemorrhoids; bryonia, 
cantharides, capsicum, chamomiUa, cuprum, ferrum, 



264 HEART. 

graphit., mere, pulsat., rhus, sepia, silex, and aconit. 
The latter is particularly useful where the tumours 
are excessively painful, or when their descent is 
accompanied by much fever of an inflammatory 
character. 



HEART. 

Carditis. In inflammation of the heart, aconit. 
may be repeated every half hour, or hour, till three or 
four doses are given. After the violence of the in- 
flammatory symptoms has been diminished, nux vom., 
pulsat., cannabis, or some other remedy, may be ne- 
cessary. The pulsat. is indicated where palpitation, 
anxiety and sorrowfulness remain. The cannabis 
when there is stretching, pressing pain in the middle 
of the sternum, with tightness of the breast and fre- 
quently returning strokes in both sides of the chest, 
but which are most painful, and attended with a sense 
of fulness and agitation, in the region of the heart. 

Aconit. The beneficial operation of this remedy 
in diseases of the heart is not confined to those of an 
acute inflammatory character. But it is also appli- 
cable in many of the chronic disorders of this organ, 
and often proves a valuable aid even where other 
remedies are required to complete the cure. 

In a case of chronic disease of the heart, in which 
there was a constant sensation of pressure and dis- 
order in the left side of the chest; affections of the 
respiration on rapid movement or going up stairs; 
stitches in the region of the heart; determination of 
blood to the head; frequent soft pulse; the disease 
worse in the spring and autumn ; aconit. in repeated 



HEART. 265 

doses, aided by two doses of aurum, effected great 
improvement. 

In a case of carditis, arising from exposure to 
cold. After a sleepless night, chill in the morning, 
followed by permanent pain in the left side, great 
anxiety, syncope, intermitting pulse, palpitation of 
heart, "asthma siccum," and much thirst; two doses 
of aconit., and afterwards single doses of pulsatilla 
and cannabis, effected a perfect restoration of the 
health in the course of seven days. 

In a case of palpitation of the heart which, though 
not constant, still recurred very frequently; aconit., in 
repeated doses, aided by sulphur, effected a cure. 

Aurum. In a case of palpitation of heart, where 
this took place paroxysmally several times a day, and 
was accompanied by anxiety, and constriction in the 
breast. 

In a case w T here there were violent, irregular pulsa- 
tions of the heart, and constriction of the chest, which 
supervened on a rheumatic fever, aurum proved of 
great use. 

Bryonia cured a case of carditis, attended with 
great anxiety, restlessness, and continual pressure in 
the breast. 

Phosphorus proved useful in two cases of palpita- 
tion of the heart, where the symptoms justified the 
suspicion of organic derangement of this organ. It 
was repeated with advantage after a month. 

In a case where palpitation of the heart was very 
troublesome whilst sitting, and accompanied by short- 
ness of breath; phosphorus 2|30 effected a cure. 

Pulsatilla. In the case of a female affected with 
pressing headache, which disappeared on motion; 
dyspepsia; frequent chilliness; coldness of the hands, 



266 HEART. 

feet, and tip of the nose ; timidity and peevishness ; 
heaviness, pressure and burning in the region of the 
heart; paroxysms of palpitation of the heart, with 
dimness of vision, vanishing of the senses, and trem- 
bling of the limbs; the paroxysms attacking with- 
out premonition, but most frequently after mental 
agitation, and often in the night; pulsatilla in alter- 
nation with aconit, and both in repeated doses, pro- 
duced great improvement. 

Rhus. In a case where there were severe stitches 
in the left side of the breast, which threatened to stop 
the breath, occurring especially on quick movement, 
in standing and whilst walking; ceasing and again 
recurring; painfulness of the part on pressure ; trem- 
bling of the heart; pain and numbness in the left 
arm, especially during rest, and sensation of crawling 
in it on motion, or from friction; painful sensation of 
stretching in the pectoral muscles of the left side, 
worse in rest; frequent chilliness; deficient appetite. 
Rhus 3 1 24 effected a cure. 

Spigelia. The following case, related by Dr. Giu- 
seppe Mauro, of Naples, is from the tenth volume 
of the Archiv. f. d. h. H. 

"Gatano Delfrate, a boy set. 12 ann., from his 
birth strong, robust, and of great muscular strength, 
which he had exerted from an early age in gymnastic 
exercises, was attacked, during a residence in Mar- 
seilles, with an inflammation of the heart, for which 
he was allceopathically treated. Although he was 
relieved from this acute disease, yet his strength ap- 
peared to be considerably diminished, and after many 
months an elevation of the ensiform cartilage ap- 
peared, without any discoloration of the superin- 
cumbent skin. By and by, the four last true ribs and 



HEART. 267 

the sternum became elevated, and he often felt a 
palpitation of heart, which would not permit him to 
pursue his accustomed exercises. The vertebral 
column was likewise distorted. During two and a 
half years, in which he was treated by Roman physi- 
cians, he had become so much worse, that he could 
not stir in bed without being attacked by the greatest 
tightness of breast. He could only sleep with his 
head elevated by three pillows, and he could only lie 
on his right side. When the ear was applied over 
the heart, a sound, similar to that of the purring of a 
cat, was perceived. The cheeks and lips were some- 
times bright red, and at other times perfectly pale. 
The carotids pulsated with a tremulous movement. 
At times he felt stitches in the region of the heart. 
His appetite was very trivial, and he had scarcely 
any thirst. A slight exertion at stool produced im- 
mediate syncope, and he became disposed to faint in 
a moderately warm room. By speaking he felt him- 
self very much oppressed, the respiration became 
very short, and the redness of the cheeks and lips 
much increased. He was very easily affected by cold, 
which produced a lingering coryza, that rendered 
the orifices of the nose sore. From time to time he 
suffered under a fever which was considered to be of 
a rheumatic character. He had been treated with 
the preparations of iron, hyosciamus, valerian, and 
similar remedies. 

"The patient was seen by several other physicians, 
one of whom pronounced the disease to be an organic 
defect of the heart, probably an enlargement, by 
which the sternum and ribs were elevated, and 
the circulation interrupted. He moreover considered 
the disease to be incurable, and that a phthisis or 



268 HEART. 

hydropic affection would end the life of this unfortu- 
nate being. Another declared it to be an 'excres- 
cenza fissa.' A third thought it to be an ' excrescenza 
vegetante.' And a fourth decided that it was either 
an aneurism of the aorta or a polypus. 

" On the first of February I gave to the patient 
spigelia 3|30 on the tongue. Dr. Trasmundi and the 
father laughed, and believed that this was only a 
preparatory dose, since they conceived it to be im- 
possible that this should have any decisive operation. 

" I cautioned them against being alarmed, if, during 
the first hours, the palpitation of the heart, the red- 
ness of the cheeks and lips, and the other symptoms 
should be increased. Five hours after taking the 
medicine, he became very restless, and much op- 
pressed at his breast, so that, although two additional 
pillows were placed under his head, he felt no relief. 
The redness of the cheeks and lips was increased, 
without the subsequent paleness. The restlessness 
and anxiety were great. The powerful strokes of 
the heart appeared as if they would shatter his ribs 
and sternum, and he could not sleep for a moment. 
His weeping mother cursed all medicine, and wished 
he could free himself from the remedy he had taken. 
But the lad encouraged his mother by reminding her 
of my presage. 

"The next day I found all quiet in the house; the 
lad had slept well through the night, even without 
the pillows, and he asked my permission to eat some- 
thing, which I allowed to him. He dressed himself, 
which he had not done for more than a month, and 
walked sixty steps about the room, at three trials, 
without fatigue. The next day I permitted him to 
ride in a carriage, and by and by he moved about in 



HERNIA. 269 

the fresh air, without feeling anxiety or fatigue. 
After rive days I found myself in the house of the 
patient with Dr. Trasmundi, who, after examining 
the patient, said; 'I see that he is actually better; 
both the palpitation of heart, and the well observed 
noise, like the purring of a cat, have vanished, and 
the ribs and sternum have become less elevated.' On 
which I remarked to him that his evidence was of 
double worth to me, since, although he was not 
directly an opponent, yet he was not disposed to see 
an improvement where there was none. 

" From day to day the patient became better, went 
into company, sang, and played on the harpsichord, 
and performed all business like a healthy person. 

"On the 25th of February, there was deceptive 
vision, all objects appearing to lie remote. Hyos- 
ciamus 3|12 produced a homoeopathic aggravation, 
and cured the visual disorder. 

" On the 14th of March, calcis carb. was given on 
account of the acrimonious coryza. After this re- 
medy, the coryza and all the other symptoms were so 
far overcome, that no one any longer thought of an 
organic lesion of the heart or the neighbouring parts. 
The ribs and sternum had completely returned to 
their natural situation." 



HERNIA. 

Cases of hernia are stated to have been cured by 
aurum, cocculus, magnesise carb., nux vom. and 
opium. Of these, nux vom. appears to have been 
the most frequently successful. The remedy of next 
importance is cocculus. 



270 HYDROPS. 

Cases are also recorded of the spontaneous reduc- 
tion of strangulated hernia after the employment of 
nux vom. Other cases are recorded in which the 
operation of this remedy appeared to favour the re- 
duction. 

While it is very proper to endeavour to effect the 
cure of hernia by homoeopathic remedies, the case is 
different with respect to strangulated hernia. The 
strangulation is an accident of very great danger, and 
the destruction of the patient, or injury as much to be 
dreaded as death itself, may speedily result from it. 
And while we believe that nux vom. has caused 
spontaneous reposition, we may still doubt the pro- 
priety of its exhibition, except in very early stages of 
the strangulation, when the symptoms are not very 
urgent, because hernia most frequently owes its origin 
to chronic morbid conditions of the system, and there- 
fore nux vom. must frequently fail. And as the 
disease does not allow time for the beneficial operation 
of the remedies which are calculated to remove these 
chronic morbid conditions, it is most probable, that the 
safest practice, in the present state of our knowledge, 
is to treat strangulated hernia by the usual methods. 



HYDROPS. 

Dropsy. 

This disease is often associated with organic lesions 
of one or more of the abdominal or thoracic viscera, 
and although pathological anatomy may be unable to 
demonstrate such lesions, in all cases of fatal dropsy, , 
yet the symptoms have most frequently pointed to the 
existence of functional derangement in the organs just 



HYDROPS. 271 

mentioned. But both organic lesions and simple func- 
tional derangements may exist without the presence 
of dropsy, and, indeed, frequently if not always pre- 
cede, for a considerable length of time, the appearance 
of the latter disease. It is not my object to attempt 
any explanation of the nature of this connection 
between visceral disorder and dropsy, but merely 
to state the facts and point out some of the most 
obvious inferences which may have a practical ap- 
plication. 

As most of the visceral lesions, which we find in- 
ducing or accompanying dropsy, are, in the present 
state of our knowledge, of an incurable character, it 
will be improper for the practitioner to give very 
great encouragement to the friends of the patient, 
even when remedies appear to be operating in a very 
salutary manner. For although the visceral derange- 
ment may be merely functional, and therefore of a 
remediable character, yet as we have no certain 
marks by which to decide that it is unconnected 
with organic lesion, the latter may exist and lead to 
the disappointment of hopes which have been pre- 
maturely and rashly excited. 

This connection of visceral disorder and dropsy 
should also induce us not to bestow too much of our 
attention on the latter disease, to the neglect of the 
other symptoms which are frequently of primary im- 
portance. This is a mistake which is frequently 
made ; and those means which promise to remove the 
symptom, which is the most troublesome and afflict- 
ing to the patient, the hydropic effusion, are sought 
after with avidity. That remedies thus employed, 
which are incapable of abating or removing the 
morbid actions which are the primary source of the 



272 HYDROPS. 

effusion, should only produce temporary palliation, 
and oftentimes not even effect this, is only what 
might rationally be expected, and what daily ex- 
perience proves. 

Before proceeding- to speak of the remedies which 
have proved useful in dropsy, it is proper to remark, 
that in the homoeopathic treatment of this disease, 
all articles of diet which possess a strongly marked 
diuretic property, should be forbidden to the patient. 

Arsenicum. Case, in a man of strong and robust 
frame, addicted to the use of spirituous liquors, and 
whose employment was of a sedentary character. He 
had felt himself very much debilitated and oppressed 
at the breast for several weeks. His appetite was 
gone, he had pains in all his limbs, became incapable 
of pursuing his business, and was at length confined 
to his bed. The whole body swelled, and an ascites, 
together with painful oedema of the feet, afforded 
grounds for a gloomy prognosis. The pains in his 
limbs were so severe that he dreaded to be moved on 
account of them. After a dose of ledum, perspira- 
tion, which had not appeared for a long time, again 
took place, and his skin became moist ; the pains in 
his limbs diminished in violence. The improvement 
continued progressive till the eighth day, when it 
was interrupted by an impropriety of diet. Bryonia 
then obviously advanced the improvement, and ar- 
senicum gtt. i. 30 removed the dropsical effusions 
which had already been, in some measure, lessened 
by the previous remedies. 

A number of other cases are recorded, in which the 
arsenicum appeared to produce great improvement, 
and some cases where it, aided by other remedies, 
effected perfect cures. 



HYDROPS. 273 

Bryonia is sometimes a valuable remedy for oecle- 
matous swelling of the feet, and has also proved 
useful where this existed in combination with ascites. 

Camphora proved useful in two cases of dropsy. 
It was given in the dose of a drop every five minutes 
until there was marked improvement, and afterwards 
less frequently, until it was finally discontinued. 
After some hours there was copious urination, and 
the urine, which had been previously red with a 
copious sediment, became clear. 

Cantharides appears to be adapted to such dropsies 
as are accompanied by tonic spasmodic affections of 
the bladder, with strangury, pain in the limbs, and 
chronic coryza. 

Carbo veg. has frequently proved useful in dropsy. 

Cinchona in a single dose removed ascites, disorder 
of respiration, and a peculiar, troublesome cough. In 
the course of twelve hours after the administration of 
the medicine, the urine was copiously discharged, 
and in a week the hydropic effusion and other symp- 
toms had disappeared. The patient, who was an old 
woman, had been before treated allceopathically with- 
out success. After the removal of the swelling she 
drank "industriously of brandy," and after some 
months her disease returned. 

In a case of anasarca, occurring after haemoptysis, 
cinchona 10|12, given daily for eight days, and then 
every other day, for a week, effected a cure. 

Digitalis. In a case of hydrothorax, with general 
dropsy; digitalis completed the cure which had been 
commenced with arsenicum. 

In a case of ascites with anasarca, where digitalis 
in large doses had temporarily removed the effusion, 
the same remedy, in the decillionth, effected the same 
18 



2 ?4 HYDROPS. 

purpose, but the disease again recurring, digitalis, in 
large and in small doses, failed to produce any 
benefit. 

In cases of ascites, benefit has been derived from 
the repetition of the digitalis as soon as there was a 
cessation of improvement from the preceding dose. 

Anasarca, occurring after scarlatina, has been cured 
by digitalis. 

Dulcamara. General dropsy in a child. Face 
bloated, body and limbs swollen; great restlessness 
at night, on account of heat; urine deficient in quan- 
tity, and of a disagreeable odour; diminished ap- 
petite; thirst; flatulent eructation; costiveness and 
debility. Disease, the consequence of an intermittent 
fever. Dulcam. gtt. ss. 21 effected a cure. 

Dulcamara is adapted to anasarca when it arises 
from a sudden suppression of the perspiration induced 
by exertion, from exposure to cold and moisture. 

Helkborus was of striking utility in a case of 
hydrothorax occurring in a man set. 57 ann. The 
urinary secretion, which had before been nearly sup- 
pressed, was restored. Cinchona, bryonia and sepia, 
completed the cure. The patient had been previously 
treated by an alloeopathic physician, without any 
success. 

In a case of anasarca occurring after scarlatina 
miliaris. Hydropic effusion in the cellular tissue; 
patient could not sit up ; lay in a lethargic condition, 
and was fretful when aroused; loss of appetite; 
scarcely any secretion of urine; paleness of the face; 
helleborus gtt. i. 12 effected a cure. 

Helleborus 1|30 cured, in the course of three days, 
ascites in a child. 

This remedy often affords speedy relief in the 



HYDROPS. 275 

dropsies which occur after scarlatina, whether these 
assume the character of ascites or anasarca. 

Lactuca virosa effected a rapid recovery in a case 
of ascites with anasarca. 

Ledum operated very beneficially in a case of 
dropsy, attended with pains in all the limbs, and 
dryness of the skin. See case under arsenicum. 

Lycopodium given in alternation with bryonia, 
has been productive of benefit in dropsy. 

In a case of ascites with cedematous swelling 
(anasarca) of the lower extremities, and lower part of 
the back. The patient, a man set. 37 ann., had been 
several times tapped, and the quantity of fluid dis- 
charged was very great. The intervals between the 
operations had diminished from six to four weeks. 
Two weeks after the last tapping, the patient con- 
sidered himself as much distended as ever, and was 
anxious for the operation to be again performed. At 
this period I was desired to attend him. I found 
him with pale sunken countenance, great emaciation 
of the superior extremities, and great hydropic tume- 
faction of the lower limbs, and of the penis and 
scrotum. His appetite was good, but his bowels 
were obstinately costive ; active cathartics producing 
small and unsatisfactory discharges. He was subject 
to attacks of colic in the latter part of the afternoon, 
which continued till nearly bed-time. The urine, 
about a pint in twenty four hours, of a dark colour, 
and depositing a copious red sediment. His tongue 
was smooth, and of an unpleasant dark red colour. 
The pulse one hundred and four in the minute. His 
disposition, which in health had been rather irritable, 
appeared to be altered by his disease so that it had 
become of a more mild and patient character. I gave 

18* 



276 HYDROPS. 

him lycopod. 3|24, and afterwards he had no return 
of his evening colics. In the course of a day or two 
his bowels were open, and the intervals between the 
stools became gradually shorter, so that in the course 
of eight or ten days, he had at least one stool every 
day. The fseces were at first of a clay colour, but 
gradually passed through various deepening shades 
of yellow to a brown colour in the course of three or 
four months. The discharge of urine increased in 
quantity, reaching, in two or three weeks, to nearly a 
quart in twenty-four hours; the quality of this fluid 
also improved, the colour becoming lighter, and the 
sediment disappearing. The dropsical effusion abated 
in the inverse order of its appearance. The oedema 
of the privates, which had appeared latest, vanished 
first, and was followed by the anasarca of the legs 
and back. The diminution of the ascites commenced 
later, and only progressed until about half of the 
fluid was removed from the abdomen. The pulse 
gradually fell to eighty-four in the minute, and the 
tongue in the course of three or four months had 
become of a proper colour. When I state that the 
changes above mentioned were gradual, it is not to 
be understood that their progress was steady. On 
the contrary, about the fifth week it was evident that 
the improvement from the lycopodium had ceased. 
Cinchona, and afterwards mercurius, produced but 
little important change. Lycopodium, again given, 
produced a fresh advance of the improvement, but for 
a more brief period and to a more limited extent than 
before. About the end of the third month, there was 
a cessation of all improvement. The tumefaction of 
the abdomen rather increased than diminished, the 
urine again became high coloured, a copious sediment 



HYDROPS. 277 

was again formed in it, and the quantity diminished 
to a pint. A number of remedies have since been 
resorted to with only temporary improvement or 
without any marked effects, except that the urine 
has again become clear, and the pulse falls sometimes 
of late, below eighty-four in the minute. I have 
now had the patient under my care for nearly six 
months. He now goes up and down stairs without 
assistance, his tongue is of the natural colour; he 
has had no return of his colic, but has been subject 
for some time past to a load at his stomach after 
eating, continuing from fifteen minutes to half an 
hour; his flesh has considerably increased in bulk 
and firmness, and there is no hydropic effusion 
except in the abdomen. J. 

Mercurius is adapted to hydrothorax supervening 
scarlatina, where there is violent oppression of the 
breast; short, rapid and difficult respiration; heat and 
sweat over the whole body; anxiety; continual, short, 
dry, shattering cough; necessity of lying with the 
head elevated considerably, or of sitting up. 

Mercurius is also adapted to ascites and anasarca, 
when these are dependent on hepatic derangement. 

Phosphorus cured two cases of frequently recurring 
swelling of the face, with oedema of the hands and 
feet. 

Prunus spinosus has been recommended as a re- 
medy in general dropsy. 

Rhus has cured some cases of dropsy occurring 
after scarlatina. 

Sambuci nig. cort. intern, proved powerfully di- 
uretic in a case of general dropsy. Though the 
swelling was somewhat diminished, the improvement 
was only of brief duration. 



278 HYSTERIA. ICTERUS. 

Solanum nig. proved useful in a dropsy occurring 
after intermittent fever. 



HYSTERIA. 

The following are among the most important re- 
medies for hysteric affections. Ignatia, aurum, bryon, 
ipecac, pulsat, cinchona, veratrum, Valeriana, sepia, 
silex, sulphur, tr. acris, acid. nit. 

For the remedies which are adapted to those cases 
in which the hysterical disorders are so violent as to 
induce convulsions, see Convulsio. 



ICTERUS. 

Jaundice. 

Arsenicum. Dr. Gross mentions a case of jaundice 
which was dependent upon an incurable disorgani- 
sation of the liver, where arsenicum proved more 
beneficial than any other remedy; and he expresses 
the opinion, that had it been employed in an earlier 
stage of the disease, it would, probably, have effected 
a perfect cure. 

Belladonna ■ has repeatedly cured jaundice in chil- 
dren ; and in the same disease, but of a more obstinate 
character, occurring later in life, it has aided in the 
cure. 

Calcis carb. cured a jaundice, which returned peri- 
odically, attended with obvious tumefaction of the 
liver; habitual costiveness; grayish white stools, and 
dyspepsia. This remedy was given daily, for some 
time, in the dose of gr. i. 3, and afterwards in the 
higher dilutions and at longer intervals. 



ICTERUS. 279 

Carbo veg. proved very useful in a case of jaundice, 
complicated with psora and ischuria. 

Chamomilla is often adapted to jaundice which 
arises from transitory causes, as, for example, im- 
proper diet, mental emotions and exposure to cold. 

In the case of a man set. 30 ann. After great 
vexation, which, as he was of a quiet disposition, he 
chiefly concealed, he had a severe chill. Afterwards, 
loss of appetite; a sensation, whilst walking, as if the 
stomach was falling down; dirty yellow coating of 
the tongue; much mucus in the mouth, especially in 
the mornings, when considerable quantities were 
thrown off; at the same time a nauseous, unpleasant 
taste ; nausea ; bowels costive ; urine of saffron yellow, 
large in quantity, and frequently discharged; the 
face, eyes and hands perfectly yellow; debility and 
evening chill. Chamomil. 9, followed the next day 
by pulsatilla gtt. ss. 12, and in two days more by nux 
vom. 5|30, effected a perfect cure in the course of 
twelve days. 

Cinchona. In a case where aconit. had been pre- 
viously given in order to moderate the fever, and 
where, besides the yellowness of the skin, there was 
loss of appetite ; pain, upon pressure, in the region of 
the liver; tumefaction of the abdomen; the faeces but 
slightly coloured ; two doses of cinchona removed the 
disease. 

Digitalis. In a case of jaundice attended by severe 
cephalalgia; nausea; mucous vomiting; debility; loss 
of appetite; dark brown urine; chalk white faeces; 
thirst, and full slow pulse; digitalis gtt. i. 15 was 
followed, in thirty-six hours, by six stools, each stool 
more yellow than the preceding, and gradual restora- 
tion of health. 



280 INCUBUS. LEUCORRHCEA. 

Mercurius is an important remedy in jaundice. 

Nux vom. Judging from the reported cases of 
cures, this remedy is the most important in the treat- 
ment of jaundice. The cases to which it is adapted, 
have, in addition to the yellowness of the skin, some 
or most of the following symptoms. Loss of appetite. 
Nausea or vomiting, especially after eating. Pressure 
or pressing pain in the stomach. Tongue coated. Dis- 
agreeable taste. Constipation or costiveness. Faeces 
white and hard. 

Pulsatilla has been employed in the treatment of 
jaundice; but, in the reported cases, nux vom. has 
generally been also used. 

Sulphur has been recommended as a valuable re- 
medy in jaundice. 

In addition to the above mentioned remedies, the 
following have also been recommended; acid, nit., 
bryonia, dulcam., ignatia, ipecac, lycopod., magnes. 
mur., sepia, soda mur. 

INCUBUS. 

Nightmare. 

Where this disorder frequently appears, the follow- 
ing remedies will often be found useful; aconit., 
ammonice carb., bryonia, bellad., ignatia, guaiacum, 
nux vom., opium, sulphur. 

LEUCORRHCEA. 

Fluor albus. Whites. 

Aconit., in repeated doses, has sometimes proved 
serviceable in leucorrhoea. 

Alumina. In a case where the discharge was of a 



LEUCORRH(EA. 281 

yellowish colour, acrimonious, and worse just before 
and after the menstrual periods; the case complicated 
with tetter on the fore arms and great debility. 
Alum. 3|12 removed all these diseases. 

Arnica, followed by calcis carb., effected the cure 
of a leucorrhoea complicated with swelling of the 
knee. 

Calcis carb. This remedy sometimes proves very 
useful in leucorrhoea and the affections which exist 
in complication with this disorder, especially when 
the patient is of the sanguine temperament, a weakly 
constitution, or mild disposition. 

In a case where, with copious discharge of white 
mucus, there was severe itching of the sexual parts 
and sometimes burning and piercing stitches; also 
emaciation, debility, pain in the breast, dry cough, 
restless sleep, &c, this remedy effected a cure. 

In a case where an acrimonious discharge was 
complicated with pain in the loins, diminished appe- 
tite, and sticking pains in the region of the liver. 
Disease of four years' duration. Cured in fourteen 
days by a single dose of calcis carb. 

Cannabis has been recommended as worthy of 
trial in leucorrhoea. 

Cinchona. A case is mentioned in which this 
remedy appeared useful. 

Cocculus. In a leucorrhoea, which supervened on 
metrorrhagia menstrualis. The discharge consisted 
of a bloody serum intermixed with purulent matter, 
and occurred in gushes whilst stooping. There was 
also distension of the abdomen, flatulent colic, and a 
painful sensation of weight in the umbilical and 
pubic regions. Cocculus gtt. i. 9 effected a perfect 
cure in six days. 



282 LEUCORRHCEA. 

Copaiva bah. has been stated to be a good remedy 
in nuor alb us arising from gonorrhoea. 

Iodine. Dr. Mauro states that iodine has proved 
a very important remedy in leucorrhoea, and that by 
a single dose of iod. 3|30 he had cured this disease, 
though of many years' duration, in a woman set. 50 
ann. 

Lycopodiuni. When the discharges of a yellowish 
matter are sudden, and preceded by a cutting pain 
low in the abdomen; the patient is dyspeptic and 
often affected with sudden flashes of heat in the face, 
though this is pale. 

Mercurius. Two doses of mere. 12 cured a leu- 
corrhoea. 

Nux vom. When the discharge consists of a fetid 
yellow mucus, and the leucorrhoea is complicated 
with cephalalgia, colic, distension of the abdomen, and 
constipation. 

Pulsatilla. When the discharge consists of a thin, 
acrimonious mucus, and is attended by a burning 
sensation in the vagina; sorrowfulness and depression 
of spirits. 

Sepia. In a case where, with a copious discharge 
of thick, yellow, acrimonious matter throughout the 
day, there was fulness, heaviness and tension of the 
abdomen, and continual downward pressure in the 
sides; sepia proved very useful. 

(In a case of leucorrhoea of two years' standing, 
characterised by pain in the back, an increase of the 
discharge from exercise ; the matter of a light yellow 
colour and unirritating quality. I administered sepia 
with entire success. Green.) 

In addition to the remedies above mentioned, the 
following have also been recommended. Acid, nit., 



LIVER. 283 

arsen., bellad., bovista, conium, carbo veg., ferrum, 
graphit., ignatia, mezereum, petroleum, platinum, 
sabina, silex, soda mur., stannum, staphys., sulphur, 
thuya. 



LIVER. 

Hepatitis. As the inflammatory fever, which ac- 
companies this disease, is generally very consider- 
able, it is mostly proper to commence the treatment 
with repeated doses of aconit., and then, according to 
the circumstances, to employ either bryonia, mix 
vom., mercurius, or any other remedy which is adapt- 
ed to the case. 

Belladonna is adapted where there are pressing 
pains in the region of the liver, which extend them- 
selves as far upward as the shoulder; distension of the 
epigastrium, and intolerable tension across the abdo- 
men immediately above the umbilicus, with difficult 
respiration and anxiety; determination of blood to 
the head, with confusion of the head, dimness of 
sight and the vertigo of approaching syncope ; great 
thirst; agonising restlessness ; sleeplessness. 

Bryonia has been frequently employed after aconit., 
with satisfactory results. 

In the case of a boy set. 14 ann., of strong frame, 
and irritable disposition, who had been ill for eight 
days, and gradually becoming worse. The region of 
the liver extremely painful on being touched ; tongue 
dry, with a dirty brown coating; taste bitter; face 
red, and hpt; heat and dryness of the surface of the 
whole body; sensation of violent internal heat inter- 
rupted by slight chilliness ; sticking pains extending 



284 



LIVER. 



upwards from the region of the bladder; cutting 
pains in the extremities, which were very severe on 
motion; pulse hard and frequent. The patient had 
drunk plentifully of chamomile tea (matricaria cha- 
momilla) and had afterwards a severe diarrhoea, which 
had ceased after the discontinuance of the tea. In 
twenty-four hours after aconit. 4|24, the pains had 
diminished, the skin was moist, the pulse normal, 
and the heat absent. Bryonia 4|30 was followed by 
rapid convalescence, and in six days the patient was 
able to resume his usual employment. 

Chamomilla is adapted to hepatitis, especially when 
this disease owes its rise to violent anger or exposure 
to cold; but it is proper to precede its employment 
by a dose of aconit. 

Lycopod. In a case of hepatitis complicated with 
pneumonia, arising from walking in the open air soon 
after recovery from an attack of pneumonia, which 
had been treated with aconit. 3|30 and bryonia 3|30. 
Dry cough, with stitches in the breast, which im- 
peded respiration and speech ; yellowness of the eyes 
and face ; burning and sticking in the region of the 
liver, in which the slightest touch could not be borne 
without screaming; the patient lay easiest on his 
back, and could not lie on either side ; tongue with a 
yellow coating; nausea; cephalalgia; heat; thirst; 
much sweat; pulse small and frequent. After aconit., 
nux vom. and mere, had been employed without 
obvious amendment; lycopod. 2|30 changed the con- 
dition essentially in twenty-four hours, and in eight 
days the patient was perfectly well. 

Mercurius is one of the most important remedies 
for hepatitis, but in the reported cases, nux vom. or 
bryonia has most commonly been previously used. 



LIVER. 285 

In a case arising from exposure to cold. Severe 
sticking, burning pain in the convex part of the liver, 
extending to the spine, and increased by sneezing, 
cough, deep inspiration or pressure; liver greatly en- 
larged, and protruding below the ribs ; great tension 
of the prsecordia ; frequent vomiting of bile ; flatulent 
eructation ; tongue with a white coating, and moist ; 
taste acid and bitter; great thirst; constipation; urine 
burning and high coloured; face swollen and red; 
warmth of the skin moderate; pulse small and hard. 
After aconit. gtt. i. 24, mercurius gr. ss. 12 was given, 
and effected a cure. 

Nux vom. This remedy is generally employed in 
the treatment of hepatitis. Dr. Schubert states that 
he cured seven cases of this disease, which were ac- 
companied by considerable gastric derangement, with 
nux vom., followed by mercurius. He details the 
following case. 

Case. In a woman ait. 30 ann., of sanguineo- 
choleric temperament. In the region of the liver, 
which was tumid, the patient felt stretching and 
severely sticking pains, which were increased by 
every inspiration and cough; external pressure could 
not be endured, and she could lie only on her back; 
respiration short, difficult and painful; excessive sore- 
ness in the region of the stomach; violent pain in the 
right shoulder joint; general heat; frequent, light 
sweat; pulse rapid, full, and somewhat hard ; sleep- 
lessness from pain, &c. ; cramps in the feet, and in 
the right gastrocnemius muscle ; severe thirst, espe- 
cially at night; little appetite; after eating, pressure 
in the stomach; eructation, with taste of putrid eggs; 
nausea and bilious vomiting ; twice in the day, diar- 
rhceal stools ; cloudy red urine, speedily depositing a 



286 LUNGS. 

lateritious sediment; peevish and quarrelsome. Nux 
vom. gtt. i. 30 effected considerable improvement in 
twelve hours. On the second day the patient com- 
plained only of pressure in the stomach after eating, 
and of outward pressing pain in the region of the 
liver, which was still tumid. Merc. gr. i. 2 was 
then given, and in a few days the disease entirely 
disappeared. 

In addition to the above remedies, the following 
have been mentioned as worthy of attention in acute 
hepatitis; antimonium, cinchona, pulsatilla. 

Hepatitis chronicus. In those forms of morbid 
action in the liver, which are termed chronic hepatitis, 
sulphur, soda, magnesia mur. and lycopodium are the 
remedies most frequently indicated, though the fol- 
lowing are mentioned as likely to be sometimes 
useful; ammonia mur., antimonium crud., bellad., 
carbo anim., potassaz carb., sodai mur. 



LUNGS. 

Some diseases in which the lungs are considerably 
or principally affected, have been already considered 
under separate heads, as, for example, catarrh and 
asthma, and others will be thus considered. There- 
fore I shall treat in the present article only of inflam- 
mation of the lungs. 

Pneumonia. Pleumtis. Aconit. is the most im- 
portant remedy in inflammation of the lungs, and is 
employed advantageously in nearly all cases. If it 
should fail to remove the disorder entirely, it will 
generally abate its violence, and diminish the accom- 



LUNGS. 287 

panying fever, at least, for a time. In those cases 
where it does not succeed, bryonia, most commonly, 
should be next employed; though where there is 
much delirium, with heat and redness of the face, 
belladonna may be the proper remedy. Where, as is 
sometimes the case, both the aconit. and bryonia fail, 
cannabis is worthy of attention, or in typhus cases, 
rhus. But under these circumstances, other reme- 
dies have also succeeded, viz. arnica, bettad., lycopod., 
potass, carb., scilla. There are cases recorded in 
which arnica, bettad., bryon., cannabis, pulsat. and 
scilla have each alone, without the previous adminis- 
tration of aconit., succeeded in curing these diseases. 
The plan of first giving aconit., however, has the 
general sanction and approbation of homoeopathic 
physicians. 

Sulphur has been frequently found very useful in 
sub-acute inflammation of the lungs in scrofulous 
subjects. 

From the numerous recorded cases, I shall select a 
few of those cured by some of the remedies which 
are most important in pneumonic inflammation. 

Aconit. Case in a man set. 35 ann. In cool, un- 
comfortable weather, he fell into a pit filled with 
water as high as his breast, and had to walk for half 
an hour in his wet clothes before he reached his 
home. From this time he felt diminished appetite, 
had eructation and sense of fulness at the epigas- 
trium, with general lassitude of the body. After ten 
days, from a fresh exposure to cold, he was attacked 
with chill, followed by fever, which confined him to 
his bed. The next day, the patient experienced 
single stitches of pain in the left side of the chest, 
which became so much worse by the following day, 



288 LUNGS. 

that he complained of continual sticking pain, which 
was increased by every deep inspiration, cough or 
movement. He had a nearly dry cough; confusion of 
the head ; vertigo on sitting up ; face red and tumid ; 
eyes glistening and weeping; tongue with a thick, 
white, mucous coating; great thirst; no stool for two 
days; copious sweat, but no sleep for two nights; 
full, hard pulse. Aconit. 24, given in the forenoon, 
was followed by an increase of the stitches in the side 
for a short time, after which he fell asleep, slept for a 
short time, and awakened much refreshed. At noon 
he had some appetite and an opening of the bowels, 
and by evening he was nearly well. The next day 
he took a journey of five hours, without a relapse of 
his complaint. 

Belladonna. In the case of a man set. 61 ann. 
Chill followed by fever and stitches in the left side 
of the chest, much cough, with bloody expectoration, 
and short, laborious respiration. Urine yellowish 
red. Taste bitter. Loss of appetite. Delirium in 
slumber. Dry tongue. Two doses of aconit., and 
one of arnica, had failed to change the condition. 
Belladonna 10|30 was given, and the improvement 
was so great by the next day that he could get up 
and walk a little. In two days he was well. 

Bryonia. In the case of a woman set. 32 ann. 
Induced by drinking cold water whilst overheated. 
Chill followed by fever, &c, which became worse 
and worse, and in two days presented the following 
form of disease. Severe stitches in the right side of 
the breast, both with the cough, which was dry, and 
by motion and respiration ; sensation of load in the 
right breast; no sleep on account of the intolerable 
pains; great anxiety; respiration short and quick; 



MAMMAE. 289 

face tumid, and of a brownish red; pulse hard, small 
and intermittent; violent palpitation of heart; skin 
hot and dry; urine of a deep red colour; tongue rough 
and dark coloured; thirst considerable; bowels not 
open for two days. Bryonia gtt. 1.12 was followed 
by an increase in the violence of the symptoms for 
some hours, and then by a gradual abatement. The 
next day she was free from fever, had no pain, and 
could take a long breath. The bowels had also been 
open. By the following day she was well. 



UAUUJE. 

The Breasts. 

The breasts of females are very liable to inflamma- 
tion, but especially so after parturition, during lacta- 
tion, and at the time of drying up the milk or 
weaning the child. It may arise from not applying 
the child to the breast sufficiently early, or neglecting 
to resort to other means for relieving the mammse 
from the accumulated milk. Drawing off a portion 
of this fluid will often remove the inflammation in 
its early stages. A variety of contrivances have 
been resorted to for this purpose, but none of them are 
superior to the mouth of the infant when this is 
perfect, and the nipple is properly developed and 
free from disease. But where the infant cannot 
perform this office, the mouth of an older person, 
where one can be found willing to undertake it, is 
next to be preferred. But there are cases where, 
from soreness or malformation of the nipple, or other 
causes, we must resort to other means. In the em- 
ployment of these, especially of some of later inven- 
19 



290 mamm^:. 

tion, where the vacuum is formed by means of an air 
pump, care must be taken that too much force be not 
applied, for serious injury may possibly be inflicted 
on the lactiferous ducts. Indeed, but little force 
should ever be applied; for much often defeats us of 
our objects, and frequently the mammse will relieve 
themselves without any external aid. In the case of 
a woman where, instead of nipples, there was a con- 
cavity as if the nipples were inverted, I thought it 
proper to endeavour to draw off some of the milk by 
artificial means, though there was a slow exudation 
of this fluid. Suction, instead of increasing the flow, 
suspended it, and I was obliged to desist. The 
natural discharge proved sufficient, for in the course 
of a few days, the pain disappeared, and the secretion 
soon ceased without any unpleasant consequences. 

When the milk does not flow of itself, or is not 
yielded to gentle suction, diseased action is already 
present, and the remedy is not forcible suction but 
the employment of those means which will remove 
the disease. For although retention of the milk may 
induce morbid action, it is itself more frequently a 
result of disease induced by taking cold, or other 
causes. 

Under these circumstances, we find a general hard- 
ness of the breast; the lactiferous vessels feel like 
knotted cords, in which the patient experiences sen- 
sations of tension and pressure. As inflammation 
advances, the surface of the breast becomes more or 
less reddened, the tumefaction and hardness increase, 
and are accompanied by severe lancinating and 
burning pain, and general fever. The most import- 
ant remedy in these cases, before the inflammation 
has become very violent, is bryonia, but where the 



MAMM.E. 291 

inflammatory action is great, belladonna is more 
proper. Should this remedy not entirely subdue 
the disease, it is recommended by Hartmann to 
employ mercurius 12. Rhus is also a valuable 
remedy, and is adapted to conditions very similar to 
those which are suited to bryonia. At the time of 
weaning the child, much of the suffering, which 
many women undergo in the process of the drying up 
of the milk, although the disorder does not amount 
to actual inflammation, may be prevented by the 
employment of these remedies. In illustration of 
this remark, I will mention the case of a woman, the 
mother of four or five children, who always suffered 
very much from her breasts, for two or three weeks 
after weaning her children. When she weaned her 
last, she suffered in the usual manner, until a dose 
of bryonia was administered, which afforded speedy 
relief. A few days afterwards there was a return of 
pain, when a repetition of the medicine again relieved 
her, and the cessation of secretion was effected with 
far less inconvenience than she had always before 
experienced. 

It will rarely happen that the inflammation, when 
early treated with these remedies, will not yield to 
them ; and then only in those cases where the disease 
of the mammse is modified and maintained by a mor- 
bid condition of the system. In these instances resort 
must be had to sulphur, silex, graphit, phosphorus, 
or other remedies. Phosphorus is adapted to cases of 
erysipelatous inflammation of the mammse, when 
suppuration is threatened or has already commenced. 

Where inflammation of the mammse arises from 
mechanical injury, conium is 'considered to be a 
valuable remedy. 

19* 



292 MAMMAE. 

In suppuration of the mammae, both phosphorus 
and silex have proved valuable remedies. 

Case. A young woman, some weeks after con- 
finement with her first child, was attacked with 
inflammation of one breast. Notwithstanding the 
application of cataplasms and ointments, it grew con- 
stantly worse. When Dr. Gross was called to visit 
the patient, he found the breast very much swollen 
and inflamed, with orifices in many places, with 
callous margins, still discharging matter, and indura- 
tions between the openings. At the same time, the 
patient had a cough, mostly dry, but frequently ac- 
companied with expectoration of blood; circumscribed 
redness of the cheeks, with otherwise pale colour of 
the face; loss of appetite; chilliness in the evening, 
followed by dry heat, especially in the palms of the 
hands; and at night ensued a clammy sweat. All 
local applications were laid aside, and the breast 
merely covered with cotton, and supported by a 
suspensory. Sol. phosphori 30 was given, and in 
eight days the phthisical symptoms had disappeared, 
and by the sixteenth day the breast was soft, and so 
healthy that she could suckle with it, which she 
continued to do without experiencing afterwards any 
inconvenience. 

Case. In an unmarried female. Abscess of one 
breast from unknown cause. The affected breast 
much enlarged; the other small and soft. Towards 
the axilla was an opening, with callous margins, 
through which exuded a thin, watery, and fetid pus. 
A sound passed into the orifice, entered a canal which 
extended to the sternum. The skin over the lower 
part of the sternum was considerably swollen, and 
the slightest touch on this part could not be borne. 



mammillae. 293 

She suffered also from cough; shortness of breath; 
great debility and amenorrhoea. The disease of seven 
weeks' duration. Silex 30, keeping the sore clean 
by frequent washing, and the use of a dry bandage 
to support the breast, produced rapid improvement. 
In eight days the breast had resumed its natural size, 
and become soft, but several weeks elapsed before 
the breast was entirely healed, and the general health 
fully restored. 

Galactirrhosa. When the milk is too copiously 
secreted and runs freely from the mammae, without 
suction on the nipples, and the discharge is so great 
as to induce debility and emaciation, the following 
remedies are recommended; calcis carb., phosphorus, 
aconit, rhus, belladonna. 

Agalactia. When there is a suppression of the 
secretion of milk, or where it is deficient in quantity, 
Pulsatilla and zincum are recommended as remedies 
which are likely to be indicated. 

In those cases where, although the secretion of 
milk is proper as to quantity, and the health of the 
mother and infant apparently good, yet the latter 
refuses to take the breast, Hartmann highly recom- 
mends cina and mercurius. 

Scirrhus MAMMAE. See article Scirrhus. 



MAMMILLA. 

The nipples. 

The nipples are very liable to become sore, the 
soreness varying in degree from simple abrasion of 
the cuticle, to such deep ulceration as destroys them. 
This soreness appears, sometimes, to be the result of 



294 MAMMILLAE. 

irritation from the month of the child, and in some of 
these instances to be the effect of the acrimonious 
secretions in the mouth of the infant while it is 
suffering from aphtha. In other cases, the soreness 
partakes of the character of a tetter, and is dependent 
on a morbid condition of the system. 

But whatever may be the form or cause of disease 
of the nipples, it most generally inflicts great torture 
on those whom it affects. In its more simple forms, 
and where it exists independently of constitutional 
derangement, moistening the nipple, whenever the 
infant is removed from the breast, with a wash formed 
by mixing two drops of tincture of arnica with a tea- 
spoonful of water, will frequently be sufficient to 
remove the disease. Every time before applying the 
child to the breast, the nipple should be washed with 
lukewarm water. When this treatment does not 
remove the pain entirely, in forty-eight hours, it is 
recommended by Hartmann to administer sulphur 
1|30. He also remarks, that, at times, calcis carb., 
lycopodium, sepia or graphit. is indicated in the 
beginning; these indications being decided by the 
accompanying symptoms. The graphit. is particu- 
larly useful when the inflammation is considerable, 
and approaching an erysipelatous character, or where 
the patient has been subject to scrofulous eruptions 
on the skin, or to tinea capitis, and when she still 
complains of itching of the scalp, with much furfura- 
ceous desquamation. 

Case. In a woman with her fourth child. At 
the commencement of lactation, the nipples became 
sore, and were deeply chapped. The chaps frequently 
bled, and burned like fire. There were also such 
deep fissures at the base of the nipples and in the 



MAMMILLiE. 295 

areolae, that there was cause to apprehend the loss of 
the nipples. For several weeks the disease was 
treated with washes, ointments, and plasters, from 
the most successful of which she experienced only 
temporary relief, and from some of the others con- 
siderable aggravation of her sufferings. These being 
laid aside, a small part of a drop of spt. vini sulphurat. 
was given internally. Frequent washing of the 
nipples with pure, lukewarm water was also recom- 
mended. In three days there was a diminution of 
the burning pain, and a cessation of the bleeding 
from the fissures. In four weeks the fissures were 
completely healed, but a slight degree of soreness 
remained, which increased in the fifth week, and in 
the sixth week a number of small vesicles appeared 
on the nipples. Graphit. was then given ; the vesicles 
dried up, and soreness disappeared entirely. In four 
weeks there was not a trace of the disease. She had 
nursed her child during the whole course of the 
treatment. 

Case. The nipples sore, tumid, hard and inflamed. 
This case was treated " antipathically," by the same 
physician who afterwards treated it homceopathically. 
The pain caused by applying the child to the breast 
was so great, that it was applied as seldom as possible. 
Owing to its consequent imperfect nourishment, the 
infant sickened and died. Previously to the death 
of the child, the right breast of the mother had in- 
flamed and suppurated. This had healed, but many 
knots were left in it, as also in the breast which had 
not suppurated. After the death of the infant, the 
soreness of the nipples disappeared, but the indura- 
tions remained. Four months afterwards, the patient 
became pregnant. In the third month of gestation, 



296 MENSES. 

she felt a drawing in the indurations, which more 
and more frequently returned, and at length changed 
into pain. At the end of the fourth month, the 
breasts were turgid, and so sensitive that the slightest 
touch excited pain. The nipples and areolae were 
ulcerated, and covered with straw yellow scales, from 
beneath which there exuded an acrimonious fluid. 
In the affected parts there was severe itching at 
night, and scratching caused burning pain. In the 
fifth month, the disease had become so troublesome, 
that the physician was called to visit her. He gave 
her a small dose of tinct. sulphuris, and in two days 
the sensibility of the breasts began to diminish. By 
the ninth day, the indurations were smaller and less 
painful, and in seven weeks after the administration 
of the sulphur, the nipples were nearly well, and the 
breasts without pain. The smaller indurations had 
disappeared, and the larger had lessened very much 
in size. Graphit. was then given, and in eighteen 
days the indurations had entirely disappeared, and 
the right nipple was perfectly well, but the left 
nipple was still covered with scales, and ulcerated. 
Lycopodium was afterwards given, and in the course 
of four weeks the disease was completely removed. 
At the proper period, she was delivered of a child, 
and suckled it without the slightest return of her old 
complaint. 



MENSES. 

Amenorrhea. Emansio mensium. "The circum- 
stances which most commonly attend the first com- 
mencement of the menstrual secretion, are : determi- 



MENSES. 297 

nation of blood to the head; heaviness of the head; 
palpitation of the heart; at times constriction of the 
chest; sensation of warmth, and fulness in the abdo- 
men; general lassitude; at times flashes of heat in 
and redness of the face; weakness of the legs and 
feet; pain in the loins, pelvis and thighs; frequent 
desire to urinate. If, under proper diet and regimen, 
these symptoms continue for a long time without the 
appearance of the menses, medical treatment is de- 
manded," and in these cases pulsat. is the remedy 
most generally required, but cham. and verat. may 
be sometimes indicated. The most valuable remedies, 
for many of these cases, are sepia, conium, mur. 
magnes., and lycopod. 

Though the menses should not appear at the age 
of puberty, it is not proper for the physician to 
endeavour to hurry their appearance with medicines, 
when their retention is accompanied by no disturb- 
ance or disorder of the system, and the corporeal 
development is incomplete; but at a later period, 
when the frame is fully developed, it is not improper. 
In these cases, pulsat is adapted, where the disposi- 
tion is fretful, complaining, and timid, and the 
muscles are soft and relaxed. Nux vom. in those 
where the disposition is hasty and passionate, and 
there is a plethoric condition of the system. Where 
these remedies fail, sodce mur., potassce carb., or colds 
carb. may be indicated, the last especially where 
there is a general plethora. 

When the appearance of the menses is late, and 
they are small in quantity, and soon cease, tr. acris 
or graphit. may be proper. 

Suppressio mensium. In suppression of the menses, 
where the physician is consulted early, and the cause 



298 MENSES. 

as fright, grief &c, &c, is known, the remedy which 
is most useful in removing the effects of such cause, 
may be the proper one for the case. But if much 
time has already elapsed, such remedy will frequently 
be found inefficient, and the indications for the re- 
medy must be found in the existing symptoms. 

Cocculus is often the best adapted remedy, when, 
at the period of menstruation, instead of the menses, 
there are abdominal cramps, and especially when 
there are combined with these, constriction of the 
chest; anxiety; sighing and groaning; paralytic weak- 
ness, the patient being unable to speak aloud, and 
the limbs relaxed ; convulsive movement of the limbs, 
and scarcely sensible pulse. 

Cuprum or cupri acetas, when the typical parox- 
ysms consist in most intolerable abdominal cramps, 
which extend themselves into the breast, and produce 
nausea, retching, and even vomiting; at the same 
time the limbs are also affected, and convulsions 
similar to the epilepsy are produced. 

Besides the remedies above mentioned, the follow- 
ing are worthy of recommendation; Valeriana, platin., 
bellad., ignat., niagnes. arcticus, mezer., digital, pul- 
sat., magnes. carb. and mur., sulphur, zinc, silex, 
lycopod., graphit., acid. nit. 

Menses immodic^;. What is generally termed 
immoderate menstruation is seldom a real increase of 
the menstrual secretion, but a true hemorrhage; the 
proper remedies for which will be found under the 
head of Metrorrhagia menstrualis. The same reme- 
dies are worthy of attention, when (if this is ever the 
case) the menstrual secretion is morbidly increased. 

Menses diminut^e. Where bad health accompa- 
nies a diminished, or uncommonly small menstrual 



NEPHRITIS. 299 

secretion, the remedies already mentioned for reten- 
tion or suppression of the menses, deserve attention. 

Dysmenorrhea. Where menstruation is accom- 
panied by pains, shooting from the back into the 
thighs, and by bearing down pains in the lower part 
of the abdomen, resembling labour, or after pains, 
secale cornut. is indicated. I prefer the lower dilu- 
tions of this remedy for the greater certainty of effect, 
though they are sometimes productive of considerable 
temporary aggravation. In this form of morbid 
menstruation, the periods are too frequent, and the 
discharge is mostly, if not always hemorrhagic, as is 
exhibited by the fact of the coagulation of portions of 
it. The other remedies for metrorrhagia menstrualis 
are therefore worthy of attention in most forms of 
dysmenorrhcea. J. 



NEPHRITIS. 

Inflammation of the kidneys. 

Aconit. is proper to abate the violence of the in- 
flammatory fever. 

Belladonna. This remedy is adapted where there 
are spasmodic sticking and burning pains in the 
back, in the region of the kidney, which extend 
themselves in the course of the ureters, to the blad- 
der, and pain in the lower part of the abdomen, 
increased by pressure; high coloured urine in small 
quantities; anxiety; restlessness; constipation. 

Calcis sulph. is often indicated when the symptoms 
above mentioned are present. 

Cannabis is recommended, when a drawing pain, 
as from soreness, extends from the kidneys to the 



300 NEURALGIA. 

pubis, and is accompanied by a feeling of anxiety 
and sickness. 

Cantharides. Case from taking cold. Chill, fever, 
headache and thirst. In the region of the left kidney, 
cutting pains, which extended from thence in the 
direction of the ureters to the bladder. Violent, but 
almost ineffectual urinary pressure, only a few drops 
of highly coloured urine being voided. Aconit. 2|30 
was first given, then cantharides 3|30, and subse- 
quently for a remaining pressing pain in the region 
of the kidney, nux vom. 30. 

Nux vom. is highly recommended as abating the 
pain and inflammation attending the descent of a 
renal calculus. In cases of this kind, the nux vom. 
has sometimes been very frequently repeated. 

This remedy is also useful where nephritis arises 
from a suppression of the hemorrhoidal flux. 

Pulsatilla is frequently useful when nephritis is 
the consequence of suppression of the catamenia. 

In addition to the remedies above mentioned, the 
following have been recommended as likely some- 
times to be indicated; cocculus., mercurius, plumbum, 
thuya. 



NEURALGIA. 

Tic doloureux. Nerve-ache. 

Aurum. N. facei. From applying an ointment, 
formed by rubbing up an amalgam of mercury and 
tin in oil, to chaps below the nose ; cure of the chaps, 
but salivation, slight purulent discharge from the 
nose, and pain in the face. The former of these af- 
fections soon disappeared, but the discharge of matter, 



NEURALGIA. 301 

and a stretching pain in the upper jaw, penetrating 
the bone, and extending to the ala nasi, had continued 
more than six months. The patient was exceedingly 
depressed in spirits, and sorrowful. Aurum gr. ss. 
12 removed the whole of the disease. 

Belladonna. N. facei. In a woman set. 30 ann. 
Disease of six months' duration. Daily, many parox- 
ysms of pain, which sometimes continued for four 
or five hours, remitted for half an hour, or even for 
several hours. The paroxysms commenced with 
troublesome itching and tickling on the right cheek 
bone and side of the nose, which caused an irresisti- 
ble inclination to rub the affected part. But, as she 
had been taught by experience that it speedily pro- 
duced the pain, she avoided it as long as possible. 
After some time a very violent cutting pain in the 
course of the infraorbital nerve, almost drove her dis- 
tracted. Except an increased flow of tears and 
saliva, no change of the affected parts was observed, 
either during or after the paroxysms. Disposition 
sorrowful and despairing. Belladonna gtt. i. 30 was 
followed by a slight homoeopathic aggravation, but 
subsequent improvement. In fourteen days the me- 
dicine was repeated, and at the end of fourteen days 
more there was not a trace of the disease left. 

Cohcynth. N. facei. In a man est. 60 ann., who 
was in other respects apparently healthy. Stitches 
and pains in the left cheek, orbit, side of the nose, 
ear and upper jaw. Beating toothache, first in one 
and then in another tooth on the same side. The 
pains were very severe, intermitted, but soon re- 
turned, and allowed rest neither night nor day, 
pains increased by touching the affected parts, by 
warmth or by motion. Heat of the whole body, with 



302 NEURALGIA. 

thirst, Pulse full and hard. Disease of three days' 
duration. Colocynth. was followed, after a brief 
homoeopathic aggravation, by comfortable sleep, and 
the next day he was perfectly free from his com- 
plaint. A year afterwards he was attacked with 
the same disease, but was at once treated with the 
colocynth. with the same success as before. 

Conium cured a severe neuralgia of the face, which 
consisted in tearing pain, passing, with electrical 
rapidity, through the right side of the face, and re- 
turning every two to five minutes. The remedy was 
given every day, for some time. 

Mezereum. N. facei. In a man set. 25 ann. Six 
or eight paroxysms in a day, of pressing, pinching, 
spasmodic pain in in the superior maxillary bone of 
the left side, extending upwards into the eye and 
temple, and downwards to the ear, teeth and shoulder. 
Paroxysms induced by entering a warm room or 
eating warm food. Mezereum gtt. i. 6 produced an 
aggravation of the complaint for a day or two, then 
entire disappearance of the pain for a day. After 
it again returned, chamomilla removed it for some 
time. In eight days it again returned, when meze- 
reum 2|18 perfectly cured it, and a year afterwards 
there had been no return of the complaint. 

Phosphorus. N. facei. In an otherwise healthy 
and robust man set. 30 ann. Disease of eight years' 
standing. Origin, taking cold. Vertigo on rising 
from bed, for which many bleedings, purgatives, &c, 
had been employed without benefit. Itching over 
the temple and whole left side of the face. Face 
tumid and pale. Dull tearing in the left cheek, and 
dull drawing in the left upper jaw, to the root of the 
nose; pain and stitches in the left cheek, from the 



NEURALGIA. 303 

jaw towards the ear. Pain throughout the entire 
left side of the face on opening the mouth. Phosph. 
produced homoeopathic aggravation for two days. In 
fourteen days he was well. No return at the end of 
a year. 

Spigelia. N. facei. Dr. Gross states that he 
cured several cases of neuralgia facei, of recent origin, 
with spigelia 30. But that, in a case of considerable 
duration, in a man of fifty years of age, this remedy 
moderated, for a time, the violence of the paroxysms, 
but could not remove the disease. In this case, the 
pain was paroxysmal and excessively violent, and 
affected the whole left side of the face, but raged 
most violently in the zygomatic bone and the parts 
bordering on the orbit. The patient could not endure 
(in the paroxysms) the slightest touch on the affected 
parts, nor the slightest motion of a single limb. The 
left side of the nose, and the left half of the upper lip, 
were tumid and shining. After the spigelia, he 
employed, in succession, calcis carb., lycopod., sepia, 
baryt, phosph., and concluded the cure with graphit, 
30, because, after every change of weather, there 
was a morbid sensibility of the parts which had been 
affected. After the graph., there appeared on the 
left side of the face an erysipelatous affection, which 
disappeared in a few days, as also did every trace of 
the neuralgia. 

In several cases of neuralgia facei, I found the 
spigelia of great service. In the case of a young 
lady who had suffered, at times, under this complaint 
for more than a year, the most violent paroxysms 
coming on towards evening, pulsatilla produced tem- 
porary abatement of the suffering. Spigelia speedily 
removed it. After some weeks there was a return of 



304 NOSE. 

the disease, which was again speedily removed by 
this remedy. At the end of a couple of months, the 
disease again appeared, but in milder form, and 
yielded at once to the spigelia. For the last three 
months there has been no return of the complaint. J. 
In addition to the remedies above mentioned, the 
following have also proved useful. Aconit., arnica, 
arsen., barytes, bryonia, capsicum, cinchona, digitalis, 
lycopodium, mercurius, nux vom., potasses carb., ruta, 
stannum, staphysagria, sulphur, tr. acris, verbascum. 



NOSE. 

In inflammation of the external nose, arnica and 
belladonna have been found useful. 

Where there is external and internal swelling of 
the nose, with morbid sensibility, loss of smell, and 
dryness of the nares, zincum is sometimes useful, but 
baryt, graphit, sodse mur. or other remedies may be 
required. In recent affections of this character, 
bryonia, rhus, cocculus, veratrum mercurius and 
stannum are worthy of attention. 

Some of the disorders of the cavities of the nose, 
(nares,) are considered in the articles on Coryza and 
Ozcena. 

Polypus of the nares is reported to have been ad- 
vantageously treated by the local application of the 
powder or tincture of marum verum. 

A case is reported in which, after a grain of the 
third trituration of phosphorus had been daily blown 
into the nostril, the polypus disappeared through 
suppuration. 



ODONTALGIA. 305 



ODONTALGIA. 



Acid. nit. frequently cures an odontalgia arising 
from the abuse of mercury. The O. beating, worst 
in the early part of the night in bed ; preventing sleep 
till after midnight. 

Aconit. 0. beating, mostly on one side, and affect- 
ing the whole jaw of that side, the cheek of which is 
commonly reddened; combined with fever, determi- 
nation of blood to the head, burning heat of the face, 
and quickened, hard pulse, arising from exposure to 
a cold dry wind. 

Baryt. carb. O. drawing; extending itself towards 
the eye and temple; pale red swelling of the gums; 
severe beating in the ear, especially at night. The 
patient much disposed to take cold. 

O. returning always before menstruation. 

Bedad. O. tearing, digging; in the teeth of the 
upper jaw, though they appear sound ; a sensation as 
if the teeth were too long; gums red, swollen and 
burning; pain increased after touching; worse in the 
evening, and excited by cool air. Face red and hot. 
Pulsation strong in the vessels of the head. 

O. sticking and tearing. Pain now in the teeth, 
now in the ear, now in the face. 

0. of pregnant females. 

Calcis carb. O. tearing, paroxysmal; in the sound 
as well as the carious teeth; worse from cold air, to 
which, even when there is no paroxysm, the teeth 
are very sensitive. 

Chamomil. 0. crawling, twitching, or tearing or 
sticking; paroxysmal; affecting no particular tooth; 
violent, mostly at night, especially when warm in 
20 



306 ODONTALGIA. 

bed; increased by cold drink; swelling of the cheek 
and neighbouring glands. 

O. digging and gnawing in carious teeth, increased 
by drinking coffee, and worst at night ; gums swollen 
and burning. 

O. grumbling and drawing in carious teeth, worst 
after eating and at night. 

O. nightly, before the return of every menstrual 
period. 

O. beating, most severe at night, especially in a 
warm bed; cheek red and slightly swollen; sweating 
of the scalp; severe thirst, and sometimes swelling of 
the sub-maxillary glands. A form of odontalgia fre- 
quently occurring in women and children. 

Cinchona. O. beating, most violent after eat- 
ing and in the night; the slightest touch aggravates 
the suffering, though firmly pressing the teeth to- 
gether, relieves. Paleness, emaciation, diarrhoea, 
night sweats. 

Similar odontalgia, from the abuse of cinchona, 
was relieved, in one case, by arnica, in another by 
pulsat, two remedies which answered less to the 
beating odontalgia than to the collective symptoms. 

Coffea crud. O. beating, occurs frequently in 
coffee drinkers, and requires for its relief aconit, 
cham., ignat., nux vom. or pulsat., according to the 
circumstances of the case. 

0. beating; the exhibition of the signs of suffering 
disproportionate to the actual pain, and known to be 
so by the patient herself. In a lady who did not 
use coffee, coffea cr. 6 afforded relief in two minutes. 
After live minutes, for remaining sensibility in the 
previously affected parts, ignatia was given, and fol- 
lowed by the speedy disappearance of this symptom. 



ODONTALGIA. 307 

Cyclamen. 0. sticking, boring; of arthritic persons. 

Euphorbium. 0. beating; abscess of the gum; 
cheek swollen with erysipelatous inflammation. After 
the euphorbium, the inflammation speedily disap- 
peared, and the abscess matured without pain. 

Euphorbium has been stated to have proved itself 
very useful against brittleness of the teeth. 

Hyosciamus. 0. tearing, pulsating; extending 
through the cheek and into the forehead, after the 
extraction of a carious tooth. Visible pulsation in 
the affected parts. Fever, redness of the face and 
eyes. Delirium. Cured in three hours, except a 
slight remaining pulsation, and some pain in the 
cavity, which were removed by nux v. 

O. tearing and beating; extending itself to the eye 
and ossa nasi. Pain increased by pressure, the teeth 
appear too long, as if coated with slime, and loose. 
Swelling of the gums. Fever; determination of blood 
to the head. Menses very copious. 

O. beating and humming; tearing in the gums; 
commonly attacks in the morning, and is excited by 
cold air. Whilst chewing, the tooth feels loose. 
Fever; determination of blood to the head. In the 
more severe cases, stricture of the throat, disabling 
the patient from swallowing, and convulsions. The 
mind much affected. 

In the case of a young woman in ill health from 
jealousy and disappointment in love, who complained 
constantly of beating toothache; this remedy effected 
a perfect cure. 

Magnet. pol. arct. O. in carious teeth; worse after 
eating, in the warmth and in the house; better in the 
free air and while walking. Gums swollen, inflamed, 
and painful to the touch. Cheek red and hot. 

20* 



308 ODONTALGIA. 

0. beating and burning in the lower jaw; worst in 
the warmth and after eating. Cheek swollen, red and 
hot; coolness of the rest of the body; irritability, 
tremblings and restlessness of the limbs. It occurs 
most frequently in the spring and fall, and its cure is 
effected in a minute, when the patient touches the 
north pole of the magnet with the tip of the index 
finger, until he perceives a slight aggravation of the 
pain. 

Magnesia carb. O. boring; now in one, now in 
many apparently sound teeth on the right side of 
the lower jaw. Tearing through the right cheek 
into the temple, with rigidity of the muscles of the 
neck and throat, and some swelling of the affected 
side of the face. Pain trifling in the day-time, but 
so severe at night, as to compel the patient to rise 
from bed and walk about. 

Mercurius. O. tearing; vanishing for a moment 
on rubbing the affected teeth, relieved by warmth, 
increased by cold air. Itching in the pale, swollen 
gums which are separated from the teeth. 

O. sticking; worst at nights, aggravated by cold air 
or cold drink, gums livid and spongy, or ulcerated on 
their edges. 

O. sticking or tearing; accompanied by salivation. 

Mezereum. 0. boring, with drawing and sticking 
pain in the jaw. Teeth on edge, and feel as if too 
long. 

O. twitching, sticking, in a carious tooth, with a 
sensation as if it was lifted up, tooth on edge and 
feels too long. 

Nnx vomica. O. sticking, digging, drawing or 
tearing ; generally extending into the bones of the 
face and frequently into the temple. Most commonly, 



ODONTALGIA. 309 

affecting carious teeth, but sometimes spreading from 
them into the sound teeth. Without swelling of the 
cheek. Worse in the mornings and after eating. 
Aggravated by drawing cold air into the mouth, by 
mental exertion, and by warm or cold drinks. 

O. of persons who drink much coffee or spirituous 
liquor. 

Platinum. O. beating; with sensation of pinching 
and numbness. Worst in the evening, and while at 
rest; involuntary weeping. Menses too frequent and 
copious. 

In the case of a female, who was of a proud dispo- 
sition, forming an over estimate of herself, and ex- 
hibiting contempt for others; the above symptoms 
being present; platinum speedily effected a cure. 

Pulsatilla. O. picking; in the upper jaw, with 
drawing pains, extending upwards towards the eye, 
worse at night; increased in a warm room or by 
warm food, diminished in the free air. 

O. beating, sticking, digging, tearing, drawing or 
gnawing; pain frequently extending to the eye, tem- 
ple and ear of the affected side. Worse in the 
evening or night, or occurring in paroxysms attack- 
ing at sunset, and continuing till midnight. Aggra- 
vated in the warmth, or by warm food. Relieved by 
cold drink, or cool air. 

Rhus. O. tearing; nightly; chronic of some months' 
duration. 

O. tearing, or with sensation of soreness, worse in 
the free air, abated by warmth. It is said that this 
remedy frequently removes fetor of the mouth arising 
from carious teeth. 

Sabina. 0. beating, with sensation as if the tooth 
had burst; occurring in females; appears in the 



310 



ODONTALGIA. 



evening and night, especially when warm in bed, or 
after eating. Frequent flatulent eructation; uterine 
hemorrhage. In one case it supervened on the re- 
pulsion of podagra from the great toe by means of 
external applications, and was speedily removed by 
the sabina without a return of the disease in either 
form. 

Sepia. O. beating and sticking, extending to the 
ear, and through the arm to the fingers, in which 
there is a sensation of crawling. Affections of the 
respiratory organs, and swelling of the cheeks and 
sub-maxillary glands, frequently accompany it. It 
most frequently occurs in persons who have a yellow- 
ish colour of the face. 

O. beating; of pregnant females, but the improve- 
ment seldom commences till after several hours, it 
then, however, continues for a long time. 

Silex. O. beating, similar to those of sepia, only 
that in the cases for silex, the periosteum of the lower 
jaw is swollen, and the pain is more in it than in the 
teeth, and the patient cannot sleep at night, on ac- 
count of general heat. Mostly, there is a diseased 
condition of the skin, owing to which every trifling 
wound becomes an eating sore. 

Spigelia. O. drawing and tearing, in all the teeth 
of the upper jaw, especially the incisors, twitching 
with electrical rapidity through the crown and root 
of a tooth into the jaw, most in the day-time. Luke- 
warm drinks relieve ; hot and cold aggravate. Teeth 

' DO 

sensitive to the cold. 

0. beating, with a form of neuralgia facei; there is 
burning and tearing in the jaw; the face is pale 
and bloated, with yellow areolae around the eyes. 
The patient also suffers from pain in the eyes; fre- 



ODONTALGIA. 311 

quent urinary pressure, with small discharge; severe 
palpitation of the heart, and frequently a sensation in 
the breast like the purring of cats; chilliness and 
great restlessness. 

Staphysagria. O. gnawing; in a carious molar 
tooth, with drawing pain along the front teeth, and 
upwards towards the eye; worse in the morning; in- 
creased by eating and chewing; in the free air and 
by cold drink; relieved by warmth. Gums bleeding 
easily. 

O. paroxysmal; all food and drink excited most 
intolerable pain; chewing was impossible. 

Sulphur. O. drawing; increased by warmth, even- 
ings and nights, with sticking in the back part of the 
head, or with drawing and sticking through the tooth 
and head. 

O. jerking, stitchlike; in carious teeth in either 
jaw. 

O. beating; arising from the suppression of cuta- 
neous eruptions by means of external applications. 
In the cases adapted to this remedy, the gums are 
swollen, and suffer the beating pain as well as the 
teeth. There is, commonly, great sensibility of the 
tops of the teeth ; determination of blood to the head, 
with beating headache, especially of evenings; red 
and inflamed eyes and nose; stitches in the ears; 
frequent ineffectual pressure to stool; pain in the 
loins; restlessness in the limbs; sleepiness in the day- 
time; chilliness, &c. 

Tr. acris. O. beating; without fever. Gums 
painful, easily bleeding; tearing pain in the muscles 
of the face, and in the eye and ear. 

Veratrum. 0. beating; accompanied by swelling 
of the face; cold sweat of the forehead; nausea or 



312 



OZ.ENA. 



bilious vomiting; weary feeling of the limbs; sinking 
of the powers, even to syncope; coldness of the whole 
body, with internal heat and unquenchable thirst for 
cold drink. 



OZ^NA. 

Alumina, in repeated doses, cured a case where 
there was a discharge of a thick, yellow and fetid 
fluid, especially in the mornings. Also, at times, of 
large, firm, yellowish green lumps of dried matter. 
Stoppage of the nose. Sometimes copious bleeding 
of the nose. Loss of smell. Pain at the root of the 
nose and in the frontal sinuses. Paleness of the 
face. Costiveness. Tetter on the backs of the hands 
and fingers. 

Aurum has been productive of much benefit in 
obstinate stoppage of the nares, with crusts from 
ulceration, in scrofulous children, especially when 
the eyelids were red and inflamed, and hordeolum 
frequently occurred. 

In a case where thick, yellowish green matter, 
partly fluid, partly dried into firm lumps, was blown 
from the nose ; there was a constant disagreeable 
odour from the nose ; loss of smell ; stoppage of the 
nares; aurum, in repeated doses, proved useful. 

Phosphorus. Case, in a man set. 22 ann., super- 
vening the cure of tinea capitis by means of oint- 
ments. Chronic inflammation and great enlarge- 
ment of the nose. The mucus dried into hard crusts, 
which, when softened by snuffing up warm water, 
could be expelled by powerfully blowing the nose. 
After bryonia had somewhat improved the general 



OZiENA. 313 

health, phosphorus 30 was given, and in fourteen 
days the disease had disappeared. 

Rhus. A case is mentioned where an ozaena, ex- 
isting at the same time with a tinea capitis, was cured 
by rhus 30. 

Sepia. In a case of ozsena, which appears to have 
originated from taking cold. After washing the head 
in cold water, whilst heated in warm weather, a 
severe beating pain attacked the forehead, and, sub- 
sequently, the ozsena appeared. Scabs were formed 
in the left nostril, of extremely offensive odour, and 
sometimes so large, that they must be drawn back 
through the posterior nares and thrown out of the 
mouth, which excited vomiting. After belladonna, 
the pain in the forehead diminished, and the discharge 
became greener and more moist. Sepia was next 
given, and effected a perfect cure in six weeks. 

In a case of ozsena, of several years' duration, 
supervening a disease of the scalp, near the crown of 
the head, which had left a space of the size of a 
dollar, with an irregular, uneven surface, over which 
the hair grew sparsedly scattered, although the rest of 
the scalp was well covered with hair. The patient 
frequently discharged from the affected nostril, large 
masses of scabs or crusts. His breath had a pecu- 
liarly offensive odour, and he complained of constant 
lassitude and weakness. Phosphorus produced tempo- 
rary improvement. Sepia, afterwards given, effected 
the same thing, but to a much greater extent, and for 
a longer period. For some time he ceased to discharge 
the scabs, his breath lost its offensive odour, and he 
experienced a very great improvement in his general 
health, a circumstance which was obvious to others 
in his greater animation of countenance and improved 



314 



PARALYSIS. 



complexion. But the disease afterwards returned, 
though not with its original violence. Sepia again 
lessened, but did not entirely remove it. The case 
has now been for several months under treatment. J. 

The following remedies are also worthy of attention. 
Assa, antim. crud., cantharides, cina, conium, mer- 
curius, mezereum, nux vom., ranunculus bulbosus, 
sulphur, thuya. 

Where the ozaena is of syphilitic, sycotic or mer- 
curio-syphilitic character, the remedies which are 
adapted to these diseases will be proper. 



PARALYSIS. 

Arnica. In a case of paralytic weakness of the 
extremities, especially of the hands ; temperature and 
sensibility normal ; arnica was given. After the ces- 
sation of its operation, nux v., and subsequently 
sulph., and again arnica, with restoration to health. 

Belladonna. In paralysis, occurring after apoplexy. 
Two cases, the one in a woman set. 45 ami., reported 
by Dr. Bigel, {Arch. 5, 2, 32), the other in a man set. 
42 ann., reported by Dr. Bethmann, {Arch. 14, 1, 
133), are remarkable for the similarity of their cir- 
cumstances in regard to the previous condition of 
health, time of attack, symptoms, operation of the 
remedy, and cure. 

Both patients were of a sanguineo-choleric tempera- 
ment, and had been for a long time subject to head- 
ache, constipation and rheumatic pains of the limbs. 
Both were attacked about an hour after midnight 
with apoplexy, in consequence of which there was an 



PARALYSIS. 315 

entire loss of sensibility and of the power of motion 
in the right side of the body. 

In both all the organs of sense were weakened, 
there was inability to speak, and the month was 
distorted. 

Both had convulsive movements of the muscles of 
the unparalysed side; a constant flow of saliva from 
the mouth; much thirst, and difficult deglutition. 

In both, the eyes were red and prominent, and the 
face tumid. 

The pulse in the man was full and hard, {voll und 
hart), in the woman it was elevated and full {eleve et 
plein.) 

The intellectual faculties of both were perfect, and 
they felt the bitterness of the present and the future 
in all its force. 

To the man, bellad. 2|30, and to the woman, bellad. 
gtt. i. 24, was given. In the former, the aggravation 
commenced in less than fifteen, and in the latter, in 
less than thirty minutes. In both it lasted about 
thirty minutes, then each fell into a sleep, which was 
accompanied by a general sweat, and both awoke 
much improved, and capable of speech and motion. 
The man had some pain and heaviness in the head, 
which left him the next day ; the woman some heavi- 
ness in the left side of the head, and some lively pain 
about the umbilicus, both of which symptoms disap- 
peared the next day, after a free discharge from the 
bowels. 

Bryonia. Paralysis, with numbness of the lower ex- 
tremities, which did not feel as if they belonged to the 
patient, and were emaciated and cold. Costiveness. 

Cocculus. Paralysis in a robust child set. 8 ann. 
Sudden without known cause. Loss of voluntary 



316 PARALYSIS. 

motion, with numbness and sleepiness of the extremi- 
ties of the right side. Cocc. gtt. i. 9. In three days 
restored to health and remained so. 

Paralysis after apoplexy. After the beneficial ope- 
ration of rhus, cocc. completed the cure, but the 
sensibility of the affected parts did not return till 
after fourteen days. 

Paralysis of the left arm and foot; the patient 
could not move the fingers or toes. Arm and leg 
entirely flaccid and powerless, yet not insensible; 
felt a particular coldness in them. Face somewhat 
tumid and red. Difficult respiration. Inclination to 
costiveness. Cocc. gtt. i. 9, and later gtt. i. 6, afforded, 
together with a dose of rhus 15, the most relief. 

Paralysis of the left side, which was completely 
immovable. Sinking of the intellectual powers, so 
that what happened was not observed. Urine dis- 
charged unconsciously and involuntarily ; stools had 
to be forced; cedematous swelling of the feet. Cocc. 
gtt. i. 12, and after eight days gtt. i. 9, effected an 
important improvement, and almost the complete 
removal of the concomitant symptoms. 

Coccul. has been recommended as very useful in 
paraplegia. 

Coccul. 5|12, repeated after some days, cured a 
paralysis of the right side, after apoplexy ; the right 
arm and thigh perfectly paralysed, but the fingers 
and toes capable of motion. 

Ferri murias. Paralysis of the shoulder joint. 

Lachesis. Paralysis of the left side. In one case 
very useful in alternation with rhus. 

Ledum. Paralysis connected with rheumatism of 
the hip joint. 

Lytopodium. Almost complete paralysis of the feet, 



PARALYSIS. 317 

with bloody urine and obstinate constipation. Lycopo- 
dium 30, every three days till three doses were taken. 

Nux vomica. Paralysis, with insensibility and 
sensation of thrilling motion and shock in the arms, 
was cured in nine days by the "use of nux vom. 

Paralysis of the right foot; the patient could not 
stand without a cane ; had vertigo ; confusion in the 
head; frequent dimness of sight for some moments; 
dull ringing in the ears, especially in the morning; 
thirst; alternate chill and heat; vomiting after eating 
and drinking; burning in the epigastrium; tearing 
pain in the back of the neck, of evenings; general 
weakness; disgust towards all food, especially coffee. 
Disposition passionate. Nux v. gtt. i. 15. In three 
days well. This case was of several years' standing 
in a lieutenant who had been discharged from the 
army, on a pension, as incurable. 

This remedy is useful in incomplete paralysis; as 
numbness, muscular debility, &c. 

Oleander was used in the beginning of the cure of 
a paralytic weakness, great insensibility, and imper- 
fect mobility of all the limbs; in a lad set. 17 ann. 
Cocc, cinch, and arnica were subsequently employed, 
and. restored him to health. 

Rhus. Paralysis of the left side, in a man between 
thirty and forty years of age. Cure completed by 
rhus after previous administration, with benefit, of 
hyosciamus and cocculus. 

Paralysis of the lower extremities, in a child est. 
10 ann., who some days after a fall down a high pair 
of steps, was attacked with the following form of 
disease, for which various medicines in large doses 
had been administered, and leeches, sinapisms and 
vesicatories applied without relief. 



318 PARALYSIS. 

Patient laid on his breast (the only endurable 
position.) The head was drawn back so that the 
occiput nearly touched the vertebrae of the back ; face 
pale, sunken, distorted and covered with cold sweat; 
the dorsal vertebrae were distorted; on bending and 
examination of the lumbar vertebrae, there was crepi- 
tation, as if the articulation was interrupted. In the 
region of the sacrum, there was a great tumefaction 
of the bone, the touching of which as well as of the 
rest of the spine, excited excessive pain. The patient 
screamed continually from severe pain. The lower 
extremities were perfectly paralysed. Dysuria and 
blood red urine. Constipation so obstinate that ene- 
mata could induce no feculent discharge. No ap- 
petite; emaciation; constant fever, with evening ex- 
acerbation; great thirst; sleep, but little, restless and 
full of frightful dreams; strong jerks throughout the 
whole body. 

Rhus 1|30 produced great amendment. This me- 
dicine was repeated every eight days, till the cure 
was complete. 

This remedy proved very useful, in a case of para- 
lysis of the arms, with diminished sensibility. 

Stannum. Paralysis, with sensibility. Stannum 
aided by stramon. and belladonna effected a cure. 

Sulphur and sodce murias cured a case of paralysis 
with involuntary discharges of faeces and urine. 

Sulphur removed a paralytic weakness of the 
lower extremities, attended with pain in the hips and 
sacrum at every step. 

Tr. acris. Paralytic weakness of the right side, 
of three years' duration. Vertigo; difficult passage 
of the urine and faeces; cramp in the right foot; face 
pale; emaciation. Tr. acris 2|30, repeated in two 



PARONYCHIA. 319 

days, produced considerable improvement in eight 
days, when the medicine was again given, as also 
twice more at intervals of eight days. Subsequently 
nux vom., and afterwards another dose of tr. acris. 
In less than two months from the commencement of 
the treatment, the disease was entirely removed. 

Paralysis of the organs of speech, and of the right 
arm. Tr. acris 1|30 was repeated every six days; 
and in fourteen days the disease was cured. 

Paralysis of one side of the face and tongue, with 
difficult deglutition. 

Zincum. Paralysis of both arms, which had been 
preceded for a long time, by severe pains of the 
hands and feet and abdominal cramps. 



PARONYCHIA. 

Panaris. Panaritium. Felon. Whitlow. 

Silex. P. cutanea; P. tendinis; P. periostii. 

This remedy has been found useful in all the forms 
and stages of paronychia; but it is the chief, if not the 
only remedy, now known for those cases which have 
been badly treated in the commencement, until there 
is a painful fungus ulceration formed, or caries of one 
or more of the phalanges has taken place. The 
curative power evinced by silex, in these cases, is 
very great. 

Sulphur. In all the forms of paronychia, in their 
incipient stages, sulphur is the remedy generally 
recommended by those who have had much experi- 
ence in the treatment of this disease. In P. cutanea, 
with suppuration under the nail, it has been found 
useful. 



320 PARTURITIO. 

Magnet, pol. arct., as also sepia, have been reported 
to have proved highly beneficial in paronychia. 



PARTURITIO. PARTURITION. 

The object of the introduction of the present article, 
is only to mention the remedies which are adapted to 
some of the morbid conditions which occur during 
or shortly after parturition. Some of the most im- 
portant of the diseases, which attack after delivery, 
are elsewhere treated of in this work. See Febris 
puerperalis, Peritonitis, Mammas, Phlegmasia alba 
dolens, Metrorrhagia lochialis, &c. 

Where, during labour, the pains are weak, or 
entirely cease, pulsatilla may be indicated. When the 
pains are " too violent and stormy," nux vom. is proper. 

For after pains, when the patient is in a state of 
great excitability, coffea or chamomilla. When the 
patient is of a mild, soft disposition, but is very ex- 
citable, and disposed to be readily alarmed, pulsatilla. 
If the after pains are combined with a slow metror- 
rhagia of thick, dark coloured blood, and consist of 
sharp, cutting pains in the thighs, organs of genera- 
tion and sides, extending towards the sacrum, crocus; 
but when the metrorrhagia consists of coagulated 
blood, which is discharged at the same time that the 
pain is most violent, chamomilla is the proper remedy. 

When after pains are accompanied by a sensation 
of pressure to stool, and the spasmodic pains are felt 
most in the regions of the uterus and bladder, nux 
vom. will frequently relieve them in a few hours. 

Hartmann considers the arnica as the most valuable 
and almost specific remedy for after pains. 



PERITONITIS. 



321 



For convulsions, attacking during labour or after 
delivery, the following remedies have been recom- 
mended; hyosciamus, chamomilla, cicuta, ignatia, 
belladonna. 

For contusion or laceration of the sexual parts, 
arnica ; if the injury is inflicted on the external parts, 
washing them with a weak infusion of arnica flowers 
or mixture of tr. arnicse and water. 

When the bowels are not open by the fourth day 
after delivery, enemata, which do not contain active 
medicinal articles, may be employed, and nux vom., 
bryonia or opium, according to the circumstances of 
the case, may be used to correct the disposition to 
constipation. 

Where there is troublesome diarrhoea, dulcamara, 
hyosciamus, rheum or antimonium crudum may be 
indicated. 



PERITONITIS. 

Inflammation of the peritoneum. 

In this disease, as in most other inflammatory af- 
fections of important organs, it is generally considered 
proper to commence the treatment with aconit. This 
practice, however, has not been uniformly pursued, 
and the very satisfactory result of a case, which ap- 
pears to have been one entitled to the appellation of 
puerperal peritonitis, treated by belladonna alone, 
shows that the aconit. is not always indispensable. 
For the case alluded to, see belladonna in the article 
Febris. 

Bryonia is a valuable remedy in puerperal pe- 
ritonitis. The following case, in which it was 
21 



322 PERITONITIS. 

employed with advantage, is from Hartlaub and 
Trinks' Annalen. 

A woman set. 25 ann., on the third day, after a 
somewhat tedious, but natural labour, was attacked, 
in the afternoon, with transitory pains in the abdomen. 
On the afternoon of the fourth day, they reappeared 
with greater severity, accompanied by fever, and 
continued until after midnight, when they subsided, 
and perspiration occurred. On the afternoon of the 
fifth day, she was attacked with violent pains and 
fever, and the physician was then called to visit her. 
He found her in bed; her face hot and red; skin dry 
and hot; tongue with a dirty coating; insipid taste in 
the mouth; tongue and lips dry; unquenchable thirst, 
especially for cold drinks; extraordinary sensation of 
heat through the whole body ; respiration oppressed, 
short and moaning; the abdomen extraordinarily dis- 
tended, especially on the left side, and painful on the 
slightest touch; costiveness; diminished secretion of 
urine; frequent periodic, cutting pains throughout 
the whole abdomen; the lochia still flowed in small 
quantity, was bloody and fetid; milk still in the 
breasts; pulse frequent, hard and full. Aconit. 5|24 
was given at six o'clock in the afternoon; the fever 
and pains continued violent until after midnight, 
when they slightly abated, but not so much as to 
allow her to sleep, and towards morning a warm, 
clammy sweat appeared. In the morning, the pain 
and swelling of the abdomen being still present, 
aconit. 8|24 was given, and at two o'clock in the 
afternoon, bryonia alba 4|30. After taking the latter 
remedy, she soon fell asleep. From this sleep she 
awoke very much improved, but still far from well. 
For two days there was no farther advance in the 



PHLEGMATIA ALBA DOLENS. 323 

improvement, and bryonia 5|30 was given in the 
morning. A rapid improvement, without any pre- 
vious homoeopathic aggravation, took place, and in 
the afternoon, the patient was dressed and sitting up 
in a chair. Two more doses of bryonia 3|30 were 
required for the completion of the cure. 

Hyosciamus is stated to have succeeded in the 
cure of a case of peritonitis, where belladonna had 
failed. 



PHLEGMATIA ALBA DOLENS. 

Milk-leg. 

For this complaint, which fortunately is not of 
very frequent occurrence, a considerable number of 
remedies have been recommended, viz. : aconit, arnica, 
arsenicum, belladonna, bryonia, calcis carb., chamo- 
milla, cinchona, lycopodium, mercurius, nux vom., 
Pulsatilla, rhus, sulphur, veratrum. Of these, bella- 
donna, arsenicum, rhus and bryonia, appear to be 
of the most importance, though arnica has been 
recommended as peculiarly adapted to its incipient 
stages. 



PHTHISIS PULMONALIS. 

Consumption. 

This term is applied to those diseases in which, 
with considerable cough and more or less expectora- 
tion, there is emaciation, hectic fever, &c. 

As these symptoms proceed from very different 
disorders of the organs of respiration, it is obvious 

21* 



324 PHTHISIS PULMONALIS. 

that phthisis embraces a number of distinct diseases, 
the duration, violence and curability of which must 
be expected to differ widely. Such is also the fact, 
and while some of them may yield, even in advanced 
stages, to appropriate remedies, others, while yet in 
an incipient form, are almost beyond the reach of the 
curative means at present in the possession of medi- 
cal science. A brief review of some of the most com- 
mon forms of phthisis may be useful. I shall, 
therefore, treat of this disease in a concise manner, 
under the divisions of catarrhal, apostematous and 
tubercular phthisis. 

Catarrhal phthisis may be defined to be, a disor- 
dered condition of the mucous membrane of the 
windpipe or lungs, in consequence of which there is 
an inordinate secretion of mucus, or a secretion of 
puroloid mucus or of pus; frequently ulceration of 
this membrane; hectic fever, emaciation, &c. It 
includes, therefore, those diseases which have been 
termed chronic catarrh, chronic laryngitis, and chro- 
nic bronchitis. It is generally supposed to arise 
from a catarrh induced by cold, or by the operation 
of other pathogenetic agents, as the miasm, which 
induces influenza, &c. But as a catarrh, in a healthy 
subject, has only a limited duration, the recuperative 
energies of the system being capable, even when 
unaided by the operation of remedial agents, of effect- 
ing its removal, just the same as these energies have 
the power of healing a wound, it follows, as in the 
latter case, that if healing does not take place, this 
must happen because these energies are either already 
impaired or in some manner counteracted. 

A wound may be kept open by irritating applica- 
tions, or fresh violence continually inflicted; or it may 



PHTHISIS PULMONALIS. 325 

become the principal point on which the morbid 
conditions of the system develop their actions, and 
other parts which before exhibited many symptoms 
of suffering, may show these fewer in number, or 
less violent. This latter circumstance occurs from 
the derivation of morbid action, which is the same 
as its metastasis, except that in the former the 
morbid action is invited to the part which becomes 
affected, and in the latter it is either repelled from 
the part, which becomes free, or its seat is changed 
from unknown causes. Of the laws of derivation and 
metastasis we know nothing, except their existence, 
and some of the circumstances which invite or attend 
their operation. 

A catarrhal affection, which, in its beginning, has 
not been uncommonly severe, may be maintained by 
unadapted remedial agents, which have been admin- 
istered for its cure, but which, instead of aiding, may 
counteract the curative operations of the system. 
Or, it may be sustained by a morbid condition of the 
system, and the mucous membrane of the lungs 
become the prominent seat of morbid action, from 
derivation or metastasis. Morbid conditions, which 
frequently develop morbid actions in the lungs, may 
arise from the retrocession, either forced or spontane- 
ous, of cutaneous diseases; or, what is probably the 
same thing, the disease of the lungs may proceed 
from sympathy with some other suffering organ, or 
may exist as a necessary result of the disorder of 
another part. 

The light which this knowledge throws upon the 
treatment proper to be pursued in catarrhal phthisis, 
shows us that we are rather to employ those means 
which will overcome the primary constitutional dis- 



326 PHTHISIS PULMONALIS. 

order, than such as would operate remedially in the 
catarrhs of persons who labour under no chronic, 
morbid condition of the system. Therefore when the 
disease is maintained by constitutional derangement 
which arises from the repulsion of cutaneous erup- 
tions from the skin, those remedies which have been 
termed antipsorals will generally be indicated. Where 
syphilitic disorder is the maintaining cause, the anti- 
syphilitic remedies should be used, but where these 
have been already abused, as is mostly the case in 
syphilitic phthisis, which rarely appears until after 
the throat and nares have been for some time effected, 
resort must be had to the remedies which are useful 
in the complications of venereal and medicinal disease. 

As already remarked, catarrhal phthisis often exists 
cotemporaneously with disorder of some other organ. 
It frequently does so with disorder of the stomach, 
forming a disease to which Dr. Wilson Philip has 
applied the name of dyspeptic phthisis. " Drunk- 
ards," says he, "at that time of life which disposes to 
phthisis, frequently fall a sacrifice to this form of the 
disease, and those who have been long subject to 
severe attacks of dyspepsia, and what are called 
bilious complaints, are liable to it They are not 
simultaneous affections, for the one always precedes 
the other. In by far the majority of cases, in which 
both the lungs and digestive organs are affected, the 
affection of the digestive organ precedes that of the 
lungs." According to my observation, many of those 
cases, which are termed chronic bronchitis, are justly 
entitled to the name of dyspeptic phthisis, as they de- 
pend upon cotemporaneous disorder of the lungs and 
of the digestive apparatus, particularly of the stomach. 

In the treatment of dyspeptic phthisis, we ought 



PHTHISIS PULMONALIS. 327 

to regard the dyspeptic symptoms as of primary im- 
portance, although those of the pulmonary disorder 
predominate in violence. These observations, though 
not useless to the homoeopathic physician, are, it must 
be acknowledged, not indispensable. For, commanded 
as he is, to observe all the symptoms of every case, 
and to select a remedy as completely adapted as 
possible to those symptoms, he must choose one 
which is adapted to both the disorders of the stomach 
and of the lungs. But without the knowledge of the 
paramount importance of the gastric derangement in 
the complicated disease, he might be influenced by 
the violence of the pulmonary disorder to adapt his 
remedy rather to the characteristics of the phthisical, 
than to those of the dyspeptic symptoms. It may be 
proper to mention, in this place, some of the remedies 
which are most likely to be indicated, viz. nux vom., 
lobelia, bryonia and pulsatilla. Of these, I have em- 
ployed the three last with very great advantage, and 
the first must be found of great utility in the dys- 
peptic phthisis of drunkards, and of those persons 
wmose dyspepsia arises from the use of coffee. When 
the gastric disorder is itself the result of a morbid 
condition of the system, the remedies just mentioned 
may fail to cure, unless aided by those medicines 
which are capable of correcting the constitutional 
disorder. * 

Apostematous phthisis arises from an abscess in 
the cavity of the chest, which results from acute 
inflammation, and sometimes occurs in persons other- 
wise healthy. In these instances, if the strength be 
properly supported by a nutritive diet, the patient 
will often recover, showing the absurdity of the asser- 
tion, sometimes made by persons who should know 



328 PHTHISIS PULMONALIS. 

better, that ulcerations of the lungs cannot heal be- 
cause these organs are in constant motion. But where 
a morbid condition of the system exists, or other de- 
rangements appear in the course of the disease, they 
should be met by the appropriate remedies. 

Tubercular phthisis, although it generally appears 
as a consequence of hereditary disorder or predispo- 
sition, yet sometimes attacks persons who do not 
belong to consumptive families. When it is of an 
hereditary character, and has attained complete de- 
velopment, it forms a disease which, in the present 
state of our knowledge, may be considered incurable. 
According to my experience, it may be much more 
satisfactorily palliated by homoeopathic, than by any 
other treatment. 

We may perhaps do much in the prevention of 
this disease, by treating those who inherit a predis- 
position to it, for every symptom of disorder, however 
slight, which may show itself before the develop- 
ment of the phthisical symptoms. 

Bellad. In a case of phthisis, supervening the 
sudden disappearance of swelling of the lymphatic 
glands of the throat. 

Calais carb. is sometimes advantageously employed 
for females with a tendency to phthisis, whose men- 
struation is too copious, and too frequent, and who 
have, in the intervals, considerable leucorrhoea. 

Case. Tickling irritation, as from feather dust in 
the throat, which causes hacking cough in the day- 
time, but at nights violent dry cough, attended with 
vomiting. Breathing difficult, and by deep inspira- 
tion, stitches in the breast. Vertigo. Stoppage of 
the nose, with yellow fetid matter, swelling of the 
tonsils; weak digestion. Stool only every four or 



PHTHISIS PULMONALIS. 329 

five days. Urine small in quantity, and blood red. 
Glands of the throat swollen. Pain in the loins. Con- 
stant chilliness, with much thirst. Debility. Local, 
debilitating sweat of the breast, at night. 

Case. Severe cough, especially in the morning, 
with yellowish puroloid expectoration, and rattling 
in the breast. Fulness, and beating in the head; 
little appetite; constant thirst; stools hard, occurring 
only once in three or four days. Menses too frequent 
and deficient. Frequent coryza. Debility. After be- 
neficial operation of calcis carb., lycop. completed 
the cure. 

A similar case to the above, except that the menses 
were too copious, and accompanied by a debilitating 
leucorrhoea in the intervals, and that there was a 
bitter taste; the expectoration greenish and fetid; 
stitches in the right side, above the region of the 
liver, by deep inspiration, and by coughing; night 
sweats; was cured by calcis carb. 

Carlo vegetal. Phthisis apostematosa. In this 
form of disease carb. veg. has proved advantageous 
in a number of cases. 

Cinchona is sometimes useful when frequent hae- 
moptysis is succeeded by frequent cough, and puru- 
lent expectoration. 

Dulcamara. Case, from frequent exposure to cold. 
Constant cough; expectoration, tinged with bright 
red blood; breast internally and externally painful; 
fever, with exacerbation; circumscribed redness of 
the cheeks, with paleness of the rest of the face; 
great thirst; sweat; emaciation; debility; constipa- 
tion; pain in the loins; flatulent distension of the 
abdomen ; flatulent eructation. Dulcamara removed 
the phthisical symptoms. The constipation, pain 



330 PHTHISIS PULMONALIS. 

in the loins, and flatulence, were removed by bry- 
onia. 

Ferri acetas. Phthisis, from neglected inflamma- 
tion of the lungs. Tickling in the ripper part of the 
trachea, with constant incitement to cough, and copi- 
ous greenish purulent expectoration, with streaks of 
blood, and putrid nauseous taste; difficult respira- 
tion; rough, hoarse, and scarcely perceptible voice; 
face sallow, with circumscribed redness of the cheeks; 
pale lips and tongue; mouth ulcerated; colliquative 
diarrhoea, causing soreness of the anus; debility; 
emaciation. Ferri acetas gr. i. 6 removed most of the 
alarming symptoms, and pulsat. 12, ten days after- 
wards, completed the cure. 

Calcis sulph. A tincture of this medicine, prepared 
in the same manner as the spiritus sulph., has proved 
very useful in suppuration of the lungs. 

Lachesis. In a case of phthisis, supervening on 
inflammation of the lungs, which had been treated by 
blood-letting. Short, hacking and straining cough, 
frequently exciting vomiting. Difficult expectoration 
of small quantities of mucus, which was sometimes 
thin, at others tough, and at times in thick, round 
little lumps. Cough only in the daytime, worse after 
walking in the open air, and after speaking, which 
appeared to create dryness, and thereby to excite 
coughing. A tickling in the epigastrium induced 
the cough; at the same time there was soreness 
under the ribs, and in the trachea. Shortness of 
breath ; debility. Nausea, and want of appetite in the 
forenoon. Lachesis, in repeated doses, effected a cure. 

Laurocerasus. Phthisis, with incessant cough, and 
very copious expectoration of gelatinous sputa, spot- 
ted with blood. 



PHTHISIS PULMONALIS. 331 

Ledum. Phthisis apostematosa. Cough, with 
stitches in and above the region of the liver; expec- 
toration of large quantities of fetid, greenish matter. 
Emaciation. 

Lycopodium. In a case where the patient could 
not speak more than two words at a time, and these 
in a very weak and low voice. Cough day and 
night. Copious expectoration of puroloid matter. 
Hectic fever, and clammy night sweat. Lycopodium 
1|12 effected a cure. 

Phthisis, with purulent expectoration and clammy 
night sweats, supervening on typhous pneumonia, has 
been cured, in several instances, by means of lycopo- 
dium. 

Note. In a case of chronic cough, with hsemop- 
tysis, and other phthisical symptoms, lycopod. nearly 
removed the whole. Calcis carb., administered after- 
wards, renewed the disease from which the patient 
was not rescued. In a case of liver complaint, where 
lycopod. had done much good, the subsequent ad- 
ministration of calcis carb. was productive of unplea- 
sant effects. 

Phosphorus. In a case of shattering cough with 
trembling of the limbs; throat raw, and dry; hoarse- 
ness; internal soreness of the breast; sputa yellow, 
purulent, of saline taste, especially in the morning 
and evening; the patient could scarcely speak a 
word without being interrupted by a short, torment- 
ing, hacking cough; tearing, and stitches through 
the whole breast, in which there were sensations like 
hammering, and fermentation; constant chilliness, 
worse towards evening, and then interrupted by 
flying heat; copious sweat; restless jactitation at 
night. Phosphorus effected a cure. 



332 PHTHISIS PULMONALIS. 

Phosphorus has proved very useful in a number of 
cases of phthisis, in which (as will be generally 
found to be the case with every remedy,) it was 
incapable of effecting a cure by itself, and other 
remedies had to be called in requisition. 

Potasses carb. In a case where, with violent cough, 
there was an expectoration of a yellow matter, most 
in the morning. Soreness, and stitches in the breast, 
and soreness under the short ribs of the right side, 
on pressure or coughing. Shortness of breath. By 
lying on the right side, drawing pains under the 
short ribs of the left side ; tearing pain in the knees, 
legs and feet, increased by rest. Sleep restless after 
midnight. The potass, was, in this case, several 
times repeated. 

Potassce nitras. In a case attended with exces- 
sively painful stitches in the breast, which obstructed 
the respiration, and were accompanied by anxiety 
and oppression, the potassse nit. proved to be a very 
valuable remedy. 

Sambuci cort. intern. In a case where there was 
constant cough, with copious expectoration of a saline 
taste; pain in the breast; dyspnoea; oedema of the 
feet; circumscribed redness of the cheeks; emacia- 
tion. Tr. samb. nig. cort. int. gtt. i. daily, for six 
days, and afterwards the same dose every other day, 
until six or more doses were taken, produced great 
improvement. Afterwards, an infusion of hedera 
terrest, with milk and sugar every morning, was 
allowed, and in a short time the patient was well. 

Case. Cough night and day, with copious expec- 
toration; the sputa of a nauseous, sweetish taste; 
pale, sallow countenance; great emaciation; rapid, 
small pulse; burning palms; much thirst of after- 



PHTHISIS PULM0NAL1S. 333 

noons ; strong night sweat ; tongue somewhat coated ; 
no appetite. Tr. cort. int. samb. nig. gtt. i., at first 
every three, and afterwards every four days. In three 
similar cases, recovery after six, eight or twelve doses. 
In dry cough, with difficult expectoration, this me- 
dicine was of no use. 

Sepia has been recommended for apostematous 
phthisis. 

Silex. In a case where there was shattering cough, 
excited by tickling in the throat, especially trouble- 
some at night; difficult respiration; purulent expecto- 
ration; weakness in the joints ; stiffness and debility 
of the limbs; silex 3(30 completed the cure which had 
been commenced with calcis carb. 

Case. Violent cough; expectoration of green, 
purulent masses; emaciation; debility; fever in the 
forenoon. After the fever had been previously less- 
ened by repeated doses of cinchona, silex 3|30 com- 
pleted the cure. 

Stannum. In a case where there was cough day 
and night, with copious mucous expectoration; great 
emaciation, though the appetite was good; rapid, 
small pulse; burning palms, especially of afternoons ; 
great morning sweat; tongue red; debility; diarrhoea; 
stannum gr. i. 6, four doses, one every eight days, 
effected a cure. 

Case. Violent cough, sometimes dry, with difficult 
expectoration, sometimes loose, with copious and easy 
expectoration, which was sometimes composed of 
watery, thin mucus, sometimes of thick and tough, 
at others, was in yellowish green masses of a saline, 
sweetish taste. Cough worse, and expectoration most 
copious, at night. Oppression and soreness of the 
breast. Voice hoarse. The trachea felt constantly 



334 PHTHISIS PULMONALIS. 

raw, and there was always tough mucus in the 
larynx. Loss of appetite; great debility; restless 
sleep, interrupted by frightful dreams. Fever every 
evening from six to nine o'clock; hot palms; dryness 
in the mouth, yet moderate thirst. Pulse small and 
frequent; sweat night and morning, of a musty smell. 
Emaciation; frequent call to urinate, discharges small; 
urine sometimes colourless, at others, dark coloured. 
Cinchona was given with little or no benefit. Stan- 
num gr. i. 6 with very great improvement; in eighteen 
days there was nothing of the disease remaining, 
except a peculiar beating, pressing pain in the left 
side of the breast, and a slight hoarseness, which 
yielded entirely in three days to bellad. gtt. i. 24. 

Case. Cough, with expectoration of large masses 
of a yellowish matter, of disgusting odour and taste. 
Dyspnoea; emaciation; cured by stannum. 

P. mucosa. P. dyspeptica. Cough; tickling and 
rattling in the breast; aching in the epigastrium, 
worse on inspiration; acid eructation, with sensation 
of rawness in the oesophagus; dyspnoea; debility. 

P. with violent cough, especially in the morning, 
frequently ending with retching and vomiting of the 
food. Cough excited by lying on the right side. 
Expectoration lumpy, sometimes white, at others 
yellow. Emaciation; debility; great dyspnoea. Case 
occurring after grippe. 

A number of other cases cured by stannum are 
recorded ; in many of these the expectorated matter 
was of a disagreeable, sweet, or putrid taste. 

Sulphur. In a case where, with violent cough, 
especially at night, there was a copious expectoration 
of a yellowish green matter, smelling like putrid 
eggs; great improvement was produced by spiritus 



RANULA. 



335 



sulphuris gtt. i. The cure was completed with 
lycopodium. 

Case. Continual cough, with thick mucous ex- 
pectoration. Great debility ; night sweat; oppression 
of the breast. Countenance pale and yellowish. Voice 
powerless. At times unnaturally violent hunger. 
Spirit, sulphuris improved the case very much, and 
lycopod. completed the cure. 

Case. Frequent hsemoptysis. Purulent, saline 
expectoration, at times streaked with blood. Labo- 
rious respiration. Restless sleep. Much thirst at 
night, Sulphur effected a cure. 



RANULA. 

Ambra, fyc. Ranula in a woman set. 18 ann. 
Disease first appeared, when she was ten years old; 
had diminished after incision, but had again in- 
creased. It consisted of tumours on each side of the 
frsenum linguae of the size of half walnuts. They 
were livid, almost transparent, and with a smooth 
surface ; at times a bitter tasted water could be pressed 
out from them ; sometimes they were slightly pain- 
ful while eating. Thuya and acid nit. were twice 
given in alternation, with little improvement. Ambra 
gr. i. 3 diminished the tumours considerably, and 
calcis carb. completed the cure. 

Mercurius. Ranula, of considerable size, in a girl 
set. 20 ann. Speedily cured. 

Mezereum. Ranula of two years' duration. It 
consisted of a fleshy tumour of a flesh colour, situ- 
ated under the tongue on the right side. When first 
observed, it was of the size of a lentil. It grew but 



336 RHEUMATISMUS. 

slowly during the first year, at the end of which it 
was of the size of a hazel-nut. At the end of the 
second year, it was the size of a pigeon's egg. It did 
not affect the speech much, but was somewhat in- 
convenient during the mastication of food. It had 
not the slightest painful feeling, but was excessively 
disagreeable, inasmuch as during speaking and chew- 
ing, it poured out a watery fluid in innumerable 
small streams, so that the patient had to remove to 
some distance from those with whom he was convers- 
ing, in order that he should not wet them with the 
discharge, and the plate from which he ate, and the 
table-cloth, were often sprinkled with fine drops. 
Lycopod, staphysag. and mercurius were tried with- 
out effect. Mezereum 4|30 was next given, and in 
eight days the tumour disappeared. But a few days 
afterwards, there was constantly a saline taste in the 
mouth, and a burning, as from pepper, in the spot 
recently occupied by the tumour, which after some 
days again returned, and by the use of mezer. was 
again removed. It returned several times afterwards, 
but at longer and longer intervals. But at the end 
of three months, under the continued use of the 
remedy, it had ceased entirely, and for a year after- 
wards there had not been the slightest trace of it. 



RHEUMATISMUS. 

Rheumatism. 

Aconitum. R. inilammatorius of the elbow joint, 
with sense of numbness, and swelling of the fingers, 
together with pinching pain, extending into the 
fingers; fever. 



RHEUMATISMUS. 337 

R. inf. of knee joint, with severe tearing pain; 
swelling; sensibility to the touch; incapability of 
movement; general fever. 

Antimonium. R. inf. Sticking, stretching pain 
in the right arm at the insertion of the biceps, with 
swelling of the arm, and part of the fore-arm. 

Arnica. R. inf. Feet little, hands much swollen, 
red, and painful on being touched. Pricking in the 
fingers, toes, knee, and joints of the arms, alternating 
with severe cutting in the muscular and tendinous 
part of the arms and thighs. No appetite ; constipation. 

Arsenicum. R. Intolerable tearing in one of the 
lower limbs, from the hip to the ankle; the limb must 
be constantly moved. 

Belladonna is a very valuable remedy in inflam- 
matory rheumatism, especially where the inflamma- 
tory fever has been abated by aconit. 

R. inf. Swelling of the muscles of the neck and 
throat, painful on being touched, with cotemporane- 
ous affection of one of the knee joints, without swell- 
ing ; pain on being touched ; the limb kept partially 
flexed; severe cutting pains in all the extremities. 
Beating headache, and at times nausea. 

R. Pressing, tearing pain, beginning deep in the 
shoulder, and shooting down to the elbow or hand, 
relieved by external pressure, renewed by motion, 
worse at night; hot, dry skin; thirst. 

R. Severe burning pain in the hip joint, extend- 
ing itself into the seat and groin, growing worse by 
sudden starts, and at night. Affected part painful 
on being touched. 

Bryonia. R. inf. of the elbow joint. 

R. inf. Stretching, sticking, tearing pain in the 
calves of the legs, extending to the ankles; in the 
22 



338 RHEUMATISMUS. 

shoulder joint, extending down to the elbows; and in 
the neck. The affected parts were swollen, red and 
almost immovable ; pain worse at night, as also in 
motion ; constipation ; urine scanty, and red. 

R. inf. Sticking, drawing and pinching pain, 
with swelling of the knees. 

R. Pain in the back, either in the loins, or be- 
tween the shoulders, or under the shoulder blades. 

R. inf. et chronicus. The forms of rheumatism 
which are adapted to bryonia, are generally those in 
which the pains are increased by motion, are worse 
at night, and accompanied by sleeplessness and con- 
stipation. 

Calcis carb. R. Knee swollen, bluish red, pain 
on every motion. Even in rest, a stretching and 
frequently a sticking from the patella inwards. Com- 
plicated with too frequent and copious menstruation, 
and leucorrhcea. 

R. in the hip of a scrofulous child. 

Calcis sulphuret. R. inf. of the ankle, worst at 
night. 

Chamomilla is adapted to acute rheumatism, when 
the pains are drawing or tearing, more in the ten- 
dons, ligaments and bones, worse at night, and con- 
stant in the same parts, which are not swollen. The 
fever begins rather with chilliness, than with a proper 
chill, which is followed immediately with a burning 
fever, with moderate thirst. 

R. Tearing pain, extending from the tuberosities 
of the ischium, down through the bones to the soles 
of the feet. Slighter in motion, worse in sitting, 
intolerable at night. 

R. of hip joint. Nightly pain in the thigh, and 
weakness of the whole limb. 



RHEUMATISMUS. 339 

Cinchona. R. Attacks of pain, excited by touch- 
ing, or slightly moving the affected part, and then 
gradually rising to the most fearful height. 

Colocynth. R. of the hip joint. 

Dulcamara. R. Severe sticking and pressing 
pain in the arms and back at night. Better from 
motion. 

R. Tearing pains in all the limbs. 

Ignatia. R. Pain, resembling that from excessive 
labour, with momentary relief by lying on the affected 
part. 

Lycopodium. R. chronicus, combined with cephal- 
algia, dyspepsia, dyspnoea, &c, &c. Drawing pain 
in the loins. Cramp, and tearing in the whole back, 
especially while sitting. Renewed by rainy weather 
and storms. Diminished by warmth. Stretching 
and tearing in the joints of the upper and lower 
extremities. Stiffness of the limbs, and coldness of 
the feet. 

Mercurius. R. where copious sweating does not 
relieve. 

R. Drawing and sticking in the lower limbs, 
worse at night than in the day, and increased by 
motion. Constant feeling of coldness in the affected 
parts. 

R. of the hip joint, with severe sticking pain in- 
creased by motion. 

Nux vomica. R. acutus et chronicus. When the 
patient is very passionate, and there is over sensibility 
to or abhorrence of fresh, cool air; also where the 
pains appear or grow worse after eating, or are in- 
creased by mental exertion. 

R. of the loins. 

R. of the hip; when this is accompanied by pam 

22* 



340 RHEUMATISMUS. 

through the whole limb, and constipation, or when 
the pain extends to the foot during the passage of the 
faeces. 

Phosphorus. R. chr. combined with cephalalgia, 
dyspepsia, chronic diarrhoea and colic. Stretching, 
drawing, and tearing pains in all the limbs, now 
here, now there, alternating with cephalalgia, renewed 
by every exposure to cold. 

Pulsatilla. R. inf. Drawing, tearing, now in one, 
now in the other knee, now in the fore-arm, hands, 
shoulders, neck or feet. The severe pain did not 
allow any motion of the affected part. When the 
pains continued for several hours in one part, swell- 
ing of the part ensued, and then the pain ceased in 
it and appeared in some other part. Chilliness of the 
whole body, except the affected part, which was 
always hot. Tongue with a white, slimy coating. 
No thirst. But little appetite. Stools and urine 
normal. Pulse hard and small. No sleep till three 
or four o'clock in the morning, because the exacerba- 
tion commenced towards evening and continued till 
this time, when there was a remission and sleep. 
Countenance pale. Disposition passive. Pulsat. gtt. 
i. 12, with slighter exacerbation that evening. Sleep 
at ten o'clock in the evening, which continued till 
six o'clock in the morning. Steady improvement, 
and in three days well. 

R. In which the pains are abated by free air, and 
aggravated on entering a warm room or becoming 
warm in bed. 

Rhus. R. relieved by motion, and aggravated by 
rest. 

R. of the hip joint. 

Sulphur. R. At every step sticking pains in the 



RUBEOLA. 341 

hip joints; when these ceased, tearing in the right 
arm, always worse at night; arm powerless, painful 
on motion and numb; one finger spasmodically and 
constantly closed ; costiveness. 

TV. acris. R. Severe tearing pain in the joints, 
shooting thence along the bones. Not altered by 
movement or rest; excessively increased by cool air; 
much moderated or entirely subsiding in a warm 
room, or on becoming warm in bed. Disposition 
fretful and peevish. 

Thuya. R. Tearing and beating pain in the 
shoulder, and extending from thence into the fingers. 
Increase of pain on letting the arms hang down, and 
in a warm bed. Amelioration by motion, in the cold, 
and by sweat; worse at night. Depression of spirits. 

Veratrum. R. Pain, as if bruised, in the shoulder 
joint and extending to the wrist; could not bear the 
arm touched; worse by covering; better by rising and 
moving about; worse in stormy weather. Exacer- 
bation about four o'clock in the morning. 

In addition to the above mentioned remedies, the 
following have also been found useful. Ledum., 
mangan. acet., mezereum., spigelia. 



RUBEOLA. 

Morbilli. Measles. 

In this disease aconitum is a most valuable remedy. 
It generally abates the violence of the fever in such a 
manner, that the measles run their course without 
much inconvenience or danger. But there are cases 
which will require other remedies. Thus, where 



342 RUBEOLA. 

retrocession of the eruption has taken place, bella- 
donna or pulsatilla may be proper, the former espe- 
cially when the disappearance of the measles, from 
the surface, is attended by delirium or by pain in the 
bowels. Where particular symptoms, which attend 
this disease, are uncommonly violent or dangerous, 
or where other important symptoms accompany it or 
appear during its course, those remedies are indicated 
which are best calculated to overcome these symp- 
toms. Hence, when the affection of the lungs ex- 
ceeds its ordinary limits, and passes into pneumonia; 
bryonia, cannabis, or some other of those remedies 
which prove most useful in pulmonary inflammation, 
will be required. When the laryngeal affection, which 
usually communicates a hoarseness or flat roughness 
to the attendant cough, passes into angina stridula, 
the remedies for croup must be employed. Where 
the patients have been previously troubled with 
worms, and the measles have developed considerable 
morbid action in the bowels, marked by unquench- 
able thirst, violent and frequently recurring colic, and 
the vomiting of worms, cina will be proper. 

As regards the sequelae of measles, drosera has been 
found useful for the hoarseness and chronic cough 
often left by this disease. Chamomilla, ignatia, nux 
vom., for harsh, dry cough. Belladonna, cina, co- 
nium, hyosciamus, for spasmodic cough resembling 
pertussis. Cinchona, mercurius, pulsatilla, for mucous 
diarrhoea. Sulphur for hardness of hearing. 



SCARLATINA. 343 

SCARLATINA. 

Scarlet fever. 

The ordinary division of scarlatina into S. simplex, 
S. anginosa, and S. maligna, is not here adopted, 
because it cannot be advantageously applied in direct- 
ing the homoeopathic treatment of the disease. A 
much more important division, in this respect, is into 
the form adapted to belladonna, and that adapted to 
aconite. Some physicians have considered these 
forms to be two distinct diseases, arising from different 
contagions. Others consider them merely modifica- 
tions of the same disease. I adopt the latter opinion, 
and agree with Hartlaub in the statement, that "the 
latter, to which the terms scarlet rash and purpura 
miliaris have been applied, is to be viewed only as a 
modification or peculiar form of scarlatina, which 
yields neither in fatality nor in its consequences to 
the original form." 

In the form of scarlatina, in which bellad. is the 
proper remedy, the eruption is of a bright red, like 
the shell of a boiled crab; the redness disappears for 
a moment on pressure with the finger, but rapidly 
returns. The redness shades off gradually into the 
whiteness of the adjacent parts. It becomes alternately 
of a paler and a deeper hue, and almost every moment 
it diminishes or increases its extent. The reddened 
skin is even and shining smooth, and the redness first 
affects the face, neck, breast, hands and feet, and 
extends thence to the rest of the body. The fever 
and the eruption appear together, and endure, in the 
milder cases, for three or four days, and in the severer 
ones for seven days. The eruption never disappears 



344 SCARLATINA. 

suddenly, but gradually declines with the fever, 
which is the more violent in proportion as the erup- 
tion is the more extensive. The reddened parts do 
not sweat, and if there is moisture on the skin, it is 
on the white parts. A general sweat sometimes 
follows the disappearance of the redness. To this 
succeeds desquamation of the cuticle. 

In the form adapted to aconit, the eruption is of a 
purple or brown red, in spots with distinct margins. 
The redness does not disappear on pressure with the 
finger, and the reddened parts are thickly sprinkled 
with small, dark red papulae, which are perceptible 
to the eye and the finger. The eruption is generally 
on the covered parts, and especially about the flexures 
of the joints. The fever and eruption have no definite 
duration, but may continue for weeks. The erup- 
tion sometimes disappears suddenly, with increased 
danger, and commonly with a speedily fatal issue. 
The mildness or severity of the disease is not con- 
nected with the extent of the eruption. Only the 
dark red spots sweat. This form of the disease may 
attack the same person oftener than once. 

For this form of disease, the aconit. must sometimes 
be repeated at intervals of four or six hours. At 
times it is necessary to give coffea crud. 3, for the 
abatement of excessive sensibility to the pains; and 
not unfrequently these remedies are required in alter- 
nation. 

Intermediate forms of scarlatina (considered by 
those physicians who affirm the existence of two 
diseases, as a complication of these, viz. of scarlatina 
with purpura miliaris) frequently occur, and present 
great difficulty in the treatment. It has been re- 
commended in these cases to give the aconit., first 



SCARLATINA. 345 

for the abatement of the fever, and subsequently, the 
bellad. for the inflammation of the fauces. 

But this is not the only difficulty in the treatment 
of scarlatina, for it will not, in some cases, give way 
to these remedies, either from the fact that the system 
may be labouring under the operation of some other 
morbific agent, which is most probably the chief 
cause of the great diversity of forms of the disease, or 
under some chronic morbid action or condition, such 
as the scrofulous diathesis, &c, &c Accordingly 
as the disease is differently modified by these causes, 
the remedy must be different, and therefore it cannot 
be a matter of surprise that they are numerous. 

In addition to the above mentioned remedies, the 
following have also proved themselves useful. 

Acid. nit. Scarlatina, with obstinate, painful in- 
flammation of the tonsils, and copious secretion of 
mucus and saliva. 

Arnica. Scarlatina, with the inclination without 
the ability to sleep. Here and there single muscular 
twitches ; picking with the fingers at the bed clothes 
or in the air; confused phantasies; eyes dull and 
clouded; eyelids not completely closing themselves; 
face pale, and covered with cold, clammy sweat; 
hardness of hearing, with roaring in the ears; lips 
and tongue dry; the latter with a dark coating, and 
towards the root of a dirty white; thirst; rapid, weak 
pulse. In these cases, one or more doses of tr. arnica 
gtt. i. prevented the threatened effusion in the brain. 

Arsenicum, as also carlo veg. In scarlatina, with 
rapid sinking of the powers, and collapse. 

Barijt. carb. Scarlatina, with long continued pain- 
ful inflammation of the tonsils and dryness of the 
throat. 



346 SCARLATINA. 

Bryonia. Scarlatina, with lively delirium; great 
sensibility to external impressions; uncommon bright- 
ness and redness of the eyes, with intolerance of 
light and sparkling before the eyes; roaring and 
w T hizzing in the ears; restlessness and constant jacti- 
tation in bed; sleep light, and disturbed by phantasies; 
wandering speech ; quick, hard and tense pulse ; 
hurried respiration. 

Chamomil Scarlatina, with moderate fever and 
eruption, but with distressing tightness of the breast 
and anxious jactitation. 

Hyosc. nig. Scarlatina, with clonic convulsions. 

Scarlatina, with dysuria, in which cases cantharid., 
bryon., ipecac, pukat., cocc, cham., &c. may be 
indicated. 

Ipecac. Scarlatina, with moderate fever and erup- 
tion, but with distressing tightness of the breast and 
anxious jactitation. 

Mercurius. Scarlatina, with external swelling of 
the neck. 

Phosphorus. Scarlatina in a girl set. 6 ann. Erup- 
tion over the whole body, without papular elevations; 
skin smooth, bright red, hot and dry; pulse quick 
and hard ; tongue dry and covered with a brownish 
black crust; lips dry and covered with brown crusts; 
gums and teeth covered with black, tough mucus; 
constant drowsiness, with delirious muttering. In- 
continence of urine ; inability of swallowing liquids ; 
constipation; dyseccea; speechlessness. Belladonna, 
aconit. and sulph. were given without benefit. On 
the fourth day phosphor. 1|30 was administered, and 
was followed by a long, quiet sleep and great im- 
provement On the sixth day, for return of speech- 
lessness, &c, the phosph. was repeated, after which, 



SCARLATINA. 347 

as there was great stupor, aconit. and coffea were 
given in alternation every four hours. External 
swelling of the neck was removed by mere. 1|12. 
Great debility, occurring during desquamation, by 
cinchona 1|30. 

Rhus. Scarlatina. Dark redness from the head 
to the toes, with innumerable vesicles, containing a 
yellowish fluid; burning heat; great thirst; coma, 
with starting up, as if affrighted; dysuria; constipa- 
tion. After rhus there was a satisfactory improve- 
ment. 

Sulphur. Scarlatina in a girl set. 9 ann. On the 
fourth day, much sleep ; starting ; opening wide the 
eyelids; distortion of the eyes. The eruption had 
suddenly disappeared; the pulse was small and quick; 
skin dry, but not hot. Sulphur 1|50 produced speedy 
improvement. 

Scarlatina. Bright red eruption over the whole 
body. Skin hot. Incessant delirium. Tongue dry, 
chapped, cinnabar red ; here and there covered with 
brown slime; stoppage of the nose; dysphagia; con- 
stipation; pulse quick, small and hard. 

SEQUELS OF SCARLATINA. 

Tinea capitis humida. Rhus, calcis sulphuret. . 

Tinea capitis sicca. Calcis carb., sulph. 

Scrofulous enlargement of the glands of the neck 
have been removed by cinch., bellad., calcis carb., 
silicea, but have more frequently passed on to suppu- 
ration, in the furtherance of which calcis sulphuret 
has proved itself the most useful. 

Hydrops. Arsenic, helleb. nig., digital, rhus. 



348 SCIRRHUS. 

SCIRRHUS. CANCER. 

Arsenicum cured an ulceration on the lip, of the 
size of a bean, with fatty base, and hard, roll-like 
margins surrounded by a dark red areola, at the same 
time a red spot on the cheek. 

In a case where cancerous ulceration had invaded 
the left half of the upper lip ; and the soft parts up- 
wards to the bone, and outwards to the angle of the 
mouth, had already been destroyed. Arsenicum 3, 
repeated every eight days, effected a cure. 

Belladonna. A man est. 40 ann. had suffered for 
three months with a considerable swelling of the 
upper lip, which was very inconvenient whilst eating 
or speaking, and considerably disfigured his counte- 
nance. In the swelling, a hard body could be felt, 
which was painful on being pressed. In cold, raw 
weather, there were flying stitches through it. Cause 
of the disease unknown. Belladonna gtt. i. 12, was 
given, and in eight days the swelling was consider- 
ably diminished. At the end of fourteen days the 
remedy was repeated in a smaller dose, and in a 
very short time the swelling entirely disappeared. 

This remedy produces great alleviation of the 
suffering in cancer of the uterus, and is particularly 
applicable where there is severe bearing down, com- 
bined with violent pain in the sacrum. 

In a case of scirrhus and prolapsus of the uterus, 
in which, in the earlier stages of the disease, there 
was metrorrhagia in varying quantity and quality; 
still later, the discharge of a fetid, whey-like mat- 
ter; pain in the back; flying stitches in the pubic 
region; costiveness; the uterus in a state of scirrhous 



SCIRRHUS. 349 

induration. Belladonna gtt. i. 20 every forty-eight 
hours, for two weeks, and a dose of arsenicum every 
four days, for some time afterwards, together with 
the local application of a weak infusion of belladonna, 
by means of a sponge, effected a perfect cure. 

Belladonna is also very useful in scirrhus of the 
mammse. 

Conium. In the case of a woman set. 22 ann. 
Five years before, she had been struck on the left 
breast, and afterwards a scirrhus had formed in this 
spot, which had grown slowly until it had at length 
attained the size of a walnut. It was seldom painful, 
but immovable. At times, there was an itching in the 
skin over it, which was not discoloured. The disease 
appeared not to affect the general system in the 
least. With reference to the originating cause of the 
disease, conium maculatum was prescribed, because 
this answers well for glandular indurations which 
arise from mechanical injury. Soon after taking the 
medicine, the patient felt some stitches through the 
scirrhus. A considerable diminution of the tumour 
could be perceived on the next day, but the improve- 
ment soon ceased to advance. Chamomilla gtt. i. 3 
was then given, and was followed by peculiar exacer- 
bations and remissions. In the evening, the scirrhus 
would be larger, and somewhat painful, and in the 
mornings smaller and movable. These changes con- 
tinued to occur for ten days, and during this time 
the tumour had diminished in size. At the end of 
fourteen days the improvement ceased. A number 
of other remedies were for some time tried, which 
exhibited no action on the induration. The physi- 
cian therefore considered it most advisable to employ 
local applications, and he directed some drops of the 



350 SCIRRHTJS. 

tincture of conium, prepared from the fresh expressed 
juice of the plant, to be rubbed in, every evening, 
over the induration. Under this treatment the scir- 
rhus entirely disappeared in the course of eight 
days. 

This remedy has also been found useful in cancer 
of the lip. 

Magnesice murias. removed scirrhous induration of 
the uterus. 

Nux vom. proved useful in cancerous ulceration of 
the lips. 

Case. A man had a scirrhus of the size of a pea 
on the middle of the lower lip, which was removed 
by a surgeon by means of repeated applications of 
caustic. But afterwards there appeared at each ex- 
tremity of the lower lip, adjoining the angles of the 
mouth, eroding ulcerations, with elevated, uneven 
margins of a white colour, pale red ground, and 
discharging a thin fluid, without any perceptible bad 
odour. The patient had a constant flow of saliva, 
which every one who trod in it with a bare foot pro- 
nounced "very sharp and biting." His disposition 
was passionate, but at the present time depressed, 
and he asserted that his disease and his unfavourable 
circumstances had taken away from him all desire 
of life. Nux vom. gtt. i. 18 was given, and was 
followed by great improvement. On the sixth day, 
conium mac. gtt. i. 21 was given, and by the tenth 
day the disease was completely removed. 

Phosphorus proved very useful in excessively pain- 
ful and hard indurations in both mammae, unaccom- 
panied by inflammation. 

Sepia has proved beneficial in scirrhous indura- 
tions of the cervix uteri. 



SCROFULA. SINGULTUS. 351 

This remedy removed a cartilaginous and fre- 
quently "bleeding scirrhus of the lower lip. 

Silex. A scirrhous induration, commencing at the 
left angle of the mouth, and involving nearly the 
whole of the left cheek, was removed by silex 6|30, 
dissolved in two ounces of water, of which a table- 
spoonful was given every other day. This prescrip- 
tion was once or twice repeated. 

This remedy also removed a cartilaginous indura- 
tion, with a deep fissure, which was seated in the 
upper lip. 



SCROFULA. 

Many developments of scrofulous action are pre- 
sented under other heads. It is merely necessary to 
remark in this place, that sulph., calcis carb. and 
barytes are among the most valuable remedies for the 
enlargement of the lymphatic glands of the neck, in 
scrofulous subjects. 

SINGULTUS. 

Hiccough. 

Bettad. cured a hiccough which at hrst had appear- 
ed every year; later, at shorter intervals, and con- 
tinued for two or three days. Before, it had always 
been cured by musk, in large doses, but, at length, it 
would not yield to the largest. After the cure, by a 
single dose of belladonna, it did not again return. 

In the case of a man, bellad , and afterwards 
bryonia, cured a hiccough, attended by retching and 
vomiting, of forty-eight hours' duration. 



352 sycosis. 

Nux vom. cured a singultus of four days' duration, 
which was so violent that the patient could neither 
eat nor drink. In a pregnant woman 

Pulsatilla. Paroxysmal singultus ; the paroxysms 
daily, sometimes several in a day, and began with 
from twelve to twenty loud, frightful hiccoughs, 
which passed into a severe spasm of the neck and 
breast, and then it appeared as if the patient would 
suddenly suffocate; the countenance, at the same 
time, expressing the most dreadful anxiety. Then, 
as if by powerful exertion, the hiccough returned 
with undiminished severity, The paroxysms en- 
dured for a quarter of an hour, and after that time 
gradually ceased of themselves, and the patient lay 
completely exhausted. Any strong, mental emotion, 
especially fright, would induce an attack. After 
pulsat. gtt. i. 12, the disease never returned. 

Sulphur 2|30, repeated after some days, cured a 
frequently recurring hiccough. 

Hyosciamus and stramonium are also useful in 
singultus. 

SYCOSIS. 

According to Hahnemann, "this disease has not 
been constantly prevalent. In modern times, espe- 
cially during the French war, in the years 1809 to 
1814, it was widely extended, but since that time it 
has shown itself less and less frequently. It has 
almost always been treated unsuccessfully and in- 
juriously with the internal use of mercury, because, 
notwithstanding the excrescences on the parts of 
generation, it has been considered as identical with 
syphilis. These excrescences usually appear first on 



sycosis. 353 

the parts of generation many days or even weeks 
after infection, by impure connection, and are com- 
monly, though not always, accompanied by a species 
of gonorrheal discharge from the urethra. They 
are in the form of a cock's comb or cauliflower, 
seldom dry and warty, more frequently soft, spongy, 
secerning a stinking fluid, and bleeding easily. They 
sprout on the glans penis or under the prepuce in 
men, but in women, around and upon the pudendum. 
It has been the practice to remove them by actual or 
potential cautery, excision or ligature ; but they gene- 
rally return again, and even when they do not, the 
general health suffers greatly, and is impaired still 
more by the improper use of mercury which is in- 
capable of curing the disease; and then somewhat 
similar excrescences appear on other parts of the 
body, either as whitish, spongy, sensitive, flat eleva- 
tions in the cavity of the mouth, on the tongue, the 
gums, the lips; or as great, elevated, brown, dry 
tubercles in the axilla, on the neck, scalp or other 
parts; or other disorders arise, of which I shall only 
mention the contraction of the tendons of the flexor 
muscles, especially of the fingers." 

Sycosis and its accompanying gonorrhoea are most 
certainly and perfectly cured by thuya occidentalis 
30, and after twenty, thirty or forty days, acid, nitric. 
30. No other external application is required, except 
the moistening, once a day, of the larger excrescences, 
with tr. thuya occid., and this only in the most in- 
veterate and difficult cases. 

Euphrasia, externally and internally, has been 
employed with success for the removal of the ex- 
crescences. Afterwards, acid, nitric, gtt. ss. 3, in 
alternation with thuya 3|12, both twice given. 
23 



354 SYNCOPE. SYPHILIS. 

SYNCOPE. 

Fainting. 

Cases are recorded in which aconit, moschus, nux 
vom. and veratrum, have proved useful in syncope. 

SYPHILIS. 

Lues venerea. Venereal disease. 

Before proceeding to mention the remedies which 
have been found most useful in the treatment of 
syphilis, it will be proper to remark, that homoeo- 
pathic physicians do not approve of the treatment by 
caustics, &c, of the local diseases. Hahnemann 
objects to it, as depriving the system of what is 
necessary for its relief in its diseased condition, and 
as taking away from the physician the indices which 
mark the presence and extent of that condition. In 
support of the former argument, against such local 
treatment, it is only necessary to mention the circum- 
stance of the great relief which is sometimes experi- 
enced from heavy, oppressive and despondent feelings, 
and even from pains, on the appearance of chancres 
or other local affections. In support of the latter 
argument, the opinions of allceopathic physicians 
might be quoted, but this is unnecessary, as every 
physician, who believes that the chancre is only a 
symptom of constitutional disorder, will at once per- 
ceive its propriety. 

Acid. nit. is useful against primary as well as 
secondary syphilitic ulcerations of the mouth and 
throat, and also in those which appear in the parts 
just mentioned, from the abuse of mercury. 



TESTES ET CHORDAE SPERMATIC^. 355 

Acid, phosph. has proved useful in mercurio- 
syphilitic disease. 

Aurum has been employed, with strikingly benefi- 
cial results, in secondary syphilis. 

Lachesis has been recommended for secondary 
syphilis. 

Mercur. has been employed in single and in re- 
peated doses, in various dilutions, with complete 
success, for the cure of chancres, buboes, and second- 
dary symptoms. The mercurius solubilis appears to 
be generally preferred. 

Thuya has proved serviceable in some cases of 
secondary syphilis. 



TESTES ET CHORDS SPERMATIC^. 

Testis inflammatio. From injury, has been cured 
with aconit. followed by arnica. Inflammation of 
the testicles, from contusion, has also been rapidly 
removed by pulsatilla. Clematis and nux v. have 
also proved useful. 

Testis induratio. Lycop. gtt. \ 18, graphit. gtt. 
ss. 18, and sulphur 2|15, in this succession, cured 
induration of the testicles, with impotence. 

Clematis has proved useful in induration and sen- 
sitive enlargement of the testicles. 

Testis tumefactio. From injury, arnica. From 
gonorrhoea, mercur, pulsat. Swelling of the testes, 
from the latter cause, may be relieved, while acute, 
by alternation of aconit., with the proper remedy for 
the gonorrhoea. 

Testis dolor. Zinc, calcis carb., lvcopod. 

23* 



356 TETANUS. 

Hydrocele. Graphit, silex, rhododendron; from 
bruise, pulsat. 

Circocele. I have seen temporary removal of the 
enlargement of the spermatic veins of the left testicle, 
forming a moderate circocele, by acid nit. under cir- 
cumstances to excite the suspicion that, in this in- 
stance, it only operated palliatively. In this case the 
atfected testicle hung lower than the other. In some 
cases of circocele, this remedy may possess certainly 
curative powers. J. 



TETANUS. 

Aconit. In the case of a boy affected with trismus, 
(locked jaw); frequent alternation of redness and 
paleness of the face, and distortion of the eyes; aconit., 
twice given, effected a cure. 

Angustura has been recommended for trismus and 
opisthotonos. 

Arnica. In a case of trismus, with opisthotonos, 
arising from a wound in the leg , after the violence of 
the disease had been abated by mercurius, the cure 
was completed with two doses of arnica, 2|12. 

Belladonna "is adapted to many of the premoni- 
tions of tonic spasms ; to these belong, partial spasms ; 
shivering and trembling of the limbs; gastrodynia; 
spasmodic, constrictive sensations in the epigastrium, 
which are accompanied by shortness of breath, and 
an anxious, distressing feeling in the breast, drawing 
and stiffness in the neck and spine, spasmodic con- 
tractions in the tongue, difficult deglutition, yawning, 
vertigo and stupor. When these symptoms advance, 
dimness of sight, distortion of the face, and trismus, 



TETANUS. 357 

or spasmodic difficulty of deglutition, also appear. 
When belladonna is adapted to trismus, the following 
symptoms, especially in the cases of infants, must be 
present; sudden starting and drawing together of the 
body and limbs; slight, twitching motions; strabis- 
mus; inability to swallow; finally severe spasms; 
anxious, spasmodic respiration; dilated pupils; mo- 
tionless, staring eyes ; involuntary discharges of the 
feces." 

Cicuta virosa is a valuable remedy in tetanus, 
especially when this disease presents itself most 
strongly in the form of trismus, but there is, at the 
same time, general tetanic rigidity. 

The recorded cases in which it has proved service- 
able, have all originated in immediate irritation of 
the brain or spinal marrow, from injuries inflicted on 
the head or back. 

Ignatia. In a case of opisthotonos from fright, 
(hysteria?); in which the head was drawn powerfully 
back by tonic spasms; the countenance was livid; 
pupils dilated; respiration laborious; deglutition of 
fluids difficult; ignatia effected a cure. 

Ipecacuanha is a remedy well worthy of attention 
in tetanus. 

Mercurius has proved useful in trismus. 

Nuz vom. In the case of a girl set. 12 ann., from 
being wetted, and taking cold. Severe spasmodic 
affections, first in the limbs, and afterwards extend- 
ing to the back, which became so rigid, that the 
patient had the appearance of a person suffering 
under tetanus ; the lips were blue, and the respiration 
difficult. Nux vom. 2|30, effected a cure. 

Rhus cured what might be termed a chronic 
opisthotonos from injury received by falling down 



358 tussis. 

stairs. The boy laid on his face, his head drawn 
back in such a manner, that the occiput nearly touch- 
ed the back ; the spine was distorted, and the lower 
extremities completely paralysed. Rhus 1|30, given 
every week, for a considerable length of time, effected 
the complete removal of the spinal distortion, and of 
the tetanic and paralytic affections. 

Tr. acris. In a case of trismus, which had al- 
ready been previously benefited by the employment 
of mercurius, repeated doses of tr. acris completed 
the cure. 



TUSSIS. 

Cough. 

Aconit. has been found very useful in dry cough. 

In a case of chronic, dry cough, where the irritation 
appeared to be seated in the upper part of the left 
lung, and there was loss of appetite and some febrile 
excitement, aconit. 10|24, given every morning and 
evening, effected a removal of the complaint in four- 
teen days. 

Ammonia mur. In a case of chronic cough of six 
years' duration, which was worse after eating, after 
drinking cold fluids, and on lying down; the cough 
dry, except in the mornings, when it was accompa- 
nied by a white, thick, tasteless expectoration ; ammon. 
mur. gtt. ss. 15 effected a cure. 

Arsenicum. In an intermittent cough, which com- 
menced every afternoon, between three and six o'clock, 
with a tickling low down in the trachea, and a fre- 
quent hacking cough, which gradually increased 
until it became a constant, violent and whooping 



tussis. 359 

cough, with the shrill tone of a hen, (kikikikih), and 
an almost complete loss of breath; cough dry, or 
attended only by a slight expectoration of transparent 
mucus ; paroxysms enduring from thirty to forty-five 
minutes, and ending with convulsive symptoms of 
short duration and a sleep of two minutes; no cough 
until the period of the next paroxysm ; arsenicum gtt. 
i. 30 was given shortly after a paroxysm. The next 
day the attack occurred an hour later, and was more 
severe than usual, but there was afterwards no return 
of the complaint for three months, when it again 
made its appearance, and the arsenicum, in the same 
dose, removed it in the same manner as before. Pre- 
viously to the employment of the arsenicum, the 
following remedies had been tried; moschus, ipecac, 
calcis sulph., cina, ignatia, stannum, nux vom., cin- 
chona. From none of these, except the last, was 
there any beneficial operation; this, however, sus- 
pended the disease for one day. A repetition of the 
dose did not suspend, but in some measure modified 
the disorder. 

Belladonna is useful in some forms of spasmodic 
cough, especially when these attack at night. ^ 

Bryonia. In a case of chronic, spasmodic cough, 
worse after meals and in the evening, at which time 
it was accompanied by vomiting; the bowels costive; 
bryonia gtt. i. 4 effected a cure. 

Capsicum is useful in some kinds of cough which 
are most severe in the evening and at night. 

Carbo veg. has frequently proved useful in chronic 
cough, with slight expectoration. 

Chamomilla. In a case where the cough attacked 
in the morning, and in the evening gradually disap- 
peared after lying down in bed; before the attack, 



360 tussis. 

there was peevishness; and during it, tickling in the 
pit of the throat; speaking excited the cough; chamo- 
milla effected considerable improvement. 

Coninm. In a chronic, dry cough, with constant 
oppression of the breast, and evening fever; three 
doses of conium 3|24 effected a cure. 

Drosera has proved very useful in chronic cough 
with hoarseness continuing after measles. 

Hyosciamus is often very useful in dry cough. 

This remedy sometimes rapidly removes a spas- 
modic cough of old persons, which attacks at night 
soon after lying down, and is very troublesome till 
towards morning, and attended by mucous expecto- 
ration. 

Ipecac. In a case where there was suffocative 
cough, accompanied by bilious vomiting; tr. ipecac, 
gtt. i. 3 removed these symptoms. 

In a case of dry, spasmodic, shattering cough, with 
loss of breath ; two doses of ipecac. 3 effected a cure. 

Lachesis is useful in short, hacking cough, attended 
by little expectoration, and occurring only in the day 
time. 

0fuz vom. is useful in dry cough, arising from 
tickling in the larynx, as also in those forms of cough 
for which it is mentioned as being suited, in the 
article on Catarrh. 

Phosphorus is sometimes useful in chronic, dry 
cough. 

Pulsatilla is very useful in cough which is most 
violent in the evening, continues through the night, 
and is alleviated by sitting up. But it has also 
proved useful in violent, morning cough, and when 
the cough continued both night and day. 

In addition to the remedies above mentioned, those 



TUSSIS CONVULSIVA. 



361 



referred to in the articles on catarrhus, phthisis, &c, 
are worthy of attention. 

TUSSIS CONVULSIVA. 

Pertussis. Whooping cough. 

Aconitum. In an epidemic pertussis, this remedy 
given daily, for two weeks, proved very useful. 

Arnica is useful where fretting and crying precede 
the cough. 

Belladonna is often useful in pertussis. 

Bryonia is serviceable when the cough is worse in 
the evening and at night; after eating or drinking, 
and where there is frequent vomiting of the ingesta. 

Chamomitta is useful when the cough is accompa- 
nied by vomiting. 

Cina has, in several instances, proved beneficial. 

Conium has proved useful where the cough was 
very severe in the night. 

Cuprum. Hartmann recommends both the cu- 
prum met. 30, and the cupri acet. 30, in those forms 
of pertussis in which the patient becomes insensible 
and rigid during the cough, and vomits on recovering 
from this condition. In these cases there is also a 
rattling, as of mucus in the bronchia, while the cough 
is absent. The remedy may be repeated every two 
or three days. 

Drosera. There is reason to believe that this 
remedy has proved of very great service in some 
epidemics. It is most highly recommended, and 
the recorded cases of cure, by its means, are very 
numerous. 

Iodine. In a case where the cough was induced 



362 UTERUS. 

by an intolerable tickling through the whole breast; 
there was, during the paroxysms, undulating inspira- 
tion, and before them anxiety; iodine 30, given every 
third day, proved very useful. 

Ipecac, repeated every two or three hours, has 
been found not only of advantage in removing the 
catarrhal symptoms, which sometimes remain after 
the cure of the spasmodic cough, but has also been 
found capable of subduing some forms of pertussis 
itself, and is applicable where the short, severe and 
shattering jars of coughing follow so rapidly and in- 
cessantly on each other that the patient can scarcely 
breathe, every inspiration appearing to excite renewed 
coughing. Efforts to vomit are frequently combined 
with these symptoms. 

Lactuca vir. has proved useful in pertussis, espe- 
cially where the paroxysms have been preceded by 
anxiety. 

Ledum has been employed in pertussis. 

Lobelia inf. has proved useful in pertussis. 

In addition to the remedies above mentioned, the 
following have also been recommended ; ambra, anti- 
timonii tart., arsenicum, calcis carb., hyosciamus, 
laurocerasus, nux vom., pulsatilla, sepia, sulphur, 
vefatrum. 



UTERUS. 

The Womb. 

Hysteritis. Metritis. Where inflammation of 
the uterus attacks with a severe chill, followed by 
violent fever, Hartmann recommends that aconit. 
should be given, but does not consider it to be 



UTERUS. 363 

necessary in all cases. He also speaks of mix vom. 
as a highly valuable, and frequently applicable re- 
medy. The symptoms to which it is adapted, are 
the following ; pressing pains above the ossa pubis, 
which are increased by external pressure, or by ex- 
amination per vaginam ; severe pains in the sacrum 
and loins; constipation or hard stools, attended with 
burning and sticking pains; painful urination, or 
retention of urine; sticking pain, and soreness in the 
lower part of the abdomen from motion, coughing or 
sneezing; elevated temperature, and tumefaction of 
the os uteri, with cotemporaneous disease of the 
vagina; exacerbations in the morning. The nux 
vom. is applicable whether the uterine inflammation 
occurs in the unimpregnated, gravid or puerperal 
states. Belladonna is almost indispensable when sen- 
sations of heaviness and bearing down in the lower 
part of the abdomen, sticking, burning pains over 
the ossa pubis, with violent pains in the sacrum, 
and sticking pains in the hip joints, which permit 
neither motion nor touch, are very prominent symp- 
toms. 

In addition to the remedies already mentioned, the 
following are sometimes indicated; bryonia, coffea, 
ignatia, mercurius, pulsatilla. 

Uteri prolapsus. The remedies which have been 
most highly recommended for this distressing affec- 
tion are nux vom. and belladonna. Aurum has been 
reported as useful in a case in which it was given in 
alternation with nux vom. The remedy which I 
find most useful in removing the bearing down 
pains, which usually accompany, and evidently arise 
from the same morbid action which causes the pro- 
lapsus of the uterus, is the secale cornutum. 



364 VARIOLA. 

VARIOLA. 

Small-pox. 

While aconitum, br yonia, or other remedies which 
are in common use, may, according to the circum- 
stances of the cases, be sometimes advantageously em- 
ployed in the treatment of variola, yet no claim, which 
is entitled to the slightest attention, is urged for the 
possession by any of these of a specific control over 
this disease. 

But such a claim has been made for the vaccine 
virus, or vaccinin, as it is now termed in some 
homoeopathic works. Whether it possesses such a 
control, is a matter worthy of the closest investiga- 
tion. My own experience on this point is very 
limited, and, on the whole, does not support the 
opinion which invests the vaccinin with the power of 
arresting the course of small-pox. Since resolving 
to try the powers of this remedy in variola, I have 
had but two cases of the disease, which I shall detail, 
as the circumstances of one of them were very pecu- 
liar, and conferred upon both a considerable interest 
independently of that arising from the trial of a new 
remedy. 

A girl of about thirteen years of age, had an attack 
of varioloid, which was so mild that no physician 
was consulted in the case. In about eleven days 
after the appearance of the eruption on this girl, her 
aunt, aged over twenty-five years, who had formerly 
been vaccinated, was attacked with fever. And on 
the day in which the aunt was attacked, a brother of 
the girl, aged one year, who had been nursed by her, 
even during her illness, was vaccinated by the vac- 
cine physician of the district. 



VARIOLA. 365 

On the third day of the aunt's illness, I was called 
to visit her, and notwithstanding I had reason to 
believe that it was a variolous fever, yet as the symp- 
toms appeared to indicate the nux vom., I admin- 
istered this remedy. On the next day the variolous 
eruption had made its appearance, and as, at this 
period of the disease, a spontaneous abatement of the 
fever was to be expected, any mitigation which ap- 
peared was to be attributed to this cause, and not to 
the operation of the remedy which had been given. 
The eruption was very copious, in fact, as much so 
as it could be to retain the character of a distinct 
small-pox {variola discreta). I did not procure the 
vaccinin until the second day of the eruption, when 
I administered to her several pellets wetted with a 
high dilution of this article, which produced no evi- 
dent change. On the fourth day of the eruption, as 
she complained very much of burning and soreness 
of the skin, the pocks presenting all the appearances 
which would justify the belief that they would run 
the course which they usually do in pretty severe 
cases of variola in persons who have not been pro- 
tected by previous vaccination or variolation ; the vac- 
cinin was again given. The next day the patient 
informed me, that shortly after taking the medicine, 
the burning in the skin had very much abated, and 
that she had passed a tolerably comfortable night. 
After this, the pustules rapidly dried up in the 
manner of varioloid, and, in a few days, had all fallen 
off from the skin. 

A question occurs, whether the vaccinin had any 
influence over the disease; and in favour of an 
affirmative answer, the fact of the relief which fol- 
lowed so speedily on the employment of the remedy, 



366 VARIOLA. 

may be urged. But against this, and in support of a 
negative reply, it may justly be argued, that relief 
should have followed after the first administration of 
the remedy, if it possessed the power attributed to it; 
and that the relief, when it did occur, happened at 
the very period of the eruption at which it often takes 
place in those forms of variola which occur in persons 
possessing a partial protection against this disease 
from previous variolation or vaccination, to which, of 
latter years, the term varioloid has been applied, and 
of which the drying up and earlier disappearance, 
instead of the ordinary maturation of the pustules, 
are the most distinctive features. The only reason 
why the latter arguments are not fully conclusive in 
my mind, is the fact, that I have never, in any other 
instance, seen a case in previously vaccinated or 
variolated persons, in which the eruption was so 
copious, run the course of varioloid; but, on the con- 
trary, always to maturate and decline in the same 
manner as variola occurring in persons without any 
previous protection. 

While attending on the aunt, I had an opportunity 
to observe that the vaccinia ran its regular course in 
her nephew, only that I did not see him at the period 
of the greatest perfection of the areola, but from what 
I saw myself and. learned from the parents, this was 
perfect. 

Two days after the formation of the areola, the 
child had a convulsion which ushered in a variolous 
eruption, which became very copious, filled at the 
proper time with a yellow puroloid fluid, burst, en- 
crusted, and ran the complete course of a perfect and 
copious distinct small-pox.. In this case, as the child 
had just passed through the vaccine disease, the scab 



VARIOLA. 367 

of which was still on its arm, it appeared to me a 
work of supererogation to administer the vaccinin, 
and therefore it was not given until the third day of 
the eruption. As the mother of the child thought 
it appeared to he a little easier after the remedy, this 
was several times repeated, but as the disease ran the 
course of variola, not much value can be attached to 
the supposed observation of greater ease after its use. 

This case appears, at first view, to militate still 
more strongly than the former against the supposition 
that the vaccinin possesses the property which has 
been attributed to it. For, in the present case, not- 
withstanding the presence of the vaccine scab on the 
arm, the disease advanced, and afterwards, in spite of 
repeated infinitesimal doses, pursued an uninterrupted 
course through regular maturation and decline. But 
a decided inference against the powers of the remedy, 
deduced from these facts, would be improper, for the 
case stands upon peculiar, though, I believe, not 
solitary grounds, and would of itself equally justify 
the conclusion that vaccination affords no protection 
against variola, since, notwithstanding the vaccine 
disease had just completed its full course and in the 
proper time, a copious "variolous eruption occurred 
and also ran its full course. 

From a review of the facts of the case, it will ap- 
pear probable, indeed almost certain, that the infant 
contracted the disease from its sister at nearly the 
same time that the aunt was infected from the sams 
source ; and that as the infant was vaccinated on the 
same day in which the aunt was attacked with the 
variolous fever, that it was on the eve of sickening 
with the same disease at the moment of vaccination. 

The only objections to these conclusions are, that 



368 VARIOLA. 

the child might have been exposed to other sources 
of the infection than that afforded by its sister, or 
that it might have contracted the disease from its 
aunt. But no other exposure of this kind was known 
of or probable; and in respect to infection from the 
aunt, it is to be observed, that, as variola, when re- 
ceived by infection, appears to require an interval of 
eleven days between the exposure to the infection 
and the appearance of the eruption, it must follow, 
that if the child contracted the disease from her, it 
must have done so on the first day of her fever, the 
possibility of which is very doubtful; and then, what 
is highly improbable, the variola must have advanced 
pari passu with the vaccinia. Agreeably to my own 
experience and all that I have heard of the experience 
of other physicians, which I am able at present to 
call to mind, vaccination, when performed upon per- 
sons residing in the same apartment with a person 
suffering under variola, even as late as the second day 
of the eruption, has always, when it produced the 
vaccine disease, prevented the small-pox at that time. 
Though there may be some cases where the vaccina- 
tion being performed at a much later period after 
exposure to the infection, vaccinia has been followed 
by variola as in the present case. 

The most justifiable conclusions therefore appear 
to be, that the child received the infection from its 
sister, that the variola was delayed in its appearance 
by the intervention of the vaccinia, and that there 
was a perfect arrest of the advance of the former 
during the progress of the latter disease. 

Whether the variola was not, in all probability, 
rendered milder, although not prevented by the vac- 
cinia, is a question which I shall not at present 



VARIOLA. 369 

discuss; though I think it most probable that it would 
be answered affirmatively by most physicians who 
possess an extensive knowledge of both diseases and 
their relations to each other, and who are, at the same 
time, acquainted with the highly malignant character 
which variola generally assumes, of later years, in 
persons who have received no partial protection from 
previous vaccinia or variola. 

If vaccinia, besides its well established power of 
procuring either perfect immunity or partial protec- 
tion from variola, is also capable of arresting and 
possibly of modifying this disease in the middle of its 
course, it would be improper for the physician, who 
knows the powerful operation of infinitesimal doses, 
to positively deny, from the present evidence, the 
possession of some controlling power in vaccinin thus 
administered, over variola; or to assert that the ap- 
parent relief from its employment in the case of the 
infant was only illusory. 

I may, perhaps, be justly charged with prolixity in 
the above details and arguments, but would plead in 
extenuation of the fault, my anxious desire that as all 
our medical knowledge, which deserves the name, is 
to be derived from accurate observation and close in- 
vestigation of individual cases; that in the trials of 
this, as well as of every other remedy, in variola as 
well as every other disease, we may subject our cases 
to the most rigid scrutiny, so that we shall neither 
suffer ourselves to be misled, nor aid in misleading 
others. 



24 



370 VERMES. 

VERMES. 

Worms. 

The healthy condition of the stomach and intes- 
tines appears to be unfavourable to or incompatible 
with the existence of worms in these organs. The 
cause may be either the destruction of their ova by 
the energy of the digestive function, or that the recre- 
mentitious matter may not afford the nourishment 
suitable for them. 

Although worms require a morbid condition of the 
alimentary canal in order to allow them to inhabit it, 
yet some forms of gastro-enteric disease destroy them. 
"No medicine," says Dr. Parr, "is half so fatal to 
worms as fever; for fever, excited by surgical opera- 
tions, when the general system was not previously 
affected, will generally occasion worms to be dis- 
charged." The same circumstance is frequently ob- 
served after fevers arising from other causes, as 
scarlatina, rubeola, &c. The great changes in the 
secretory actions of these organs, and the consequent 
altered character of the secretions, must greatly affect 
the worms, or, as we see in the above instances, 
absolutely destroy them. Such alterations of the 
secretions may also be the effect of various medicines; 
and it is to the possession of such a property that we 
must attribute the efficacy of those which are termed 
vermifuges or anthelmintics. 

Notwithstanding that the facts, which we know in 
relation to intestinal worms, lead directly to the in- 
ference that their destruction, when it takes place, is 
owing to an alteration in the condition of the bowels, 
either from the induction of a healthy condition, or of 



VERMES. • 371 

a different development of morbid action in these 
organs ; still the idea is generally if not universally 
prevalent, that vermifuge medicines operate directly 
upon the worms and destroy them, either through 
their poisonous properties, or by wounding or suffo- 
cating them. Of the remedies which are supposed 
to poison the intestinal worms, filix mas., spigelia and 
the mercurials are instances. Of those which are 
supposed to pierce and cut the worms, or otherwise 
to inflict mechanical injuries upon them sufficient to 
destroy them, are the metallic filings, especially those 
of tin and iron, and the setse of the dolichos pruriens. 
And of those which are supposed to suffocate them, 
are the castor and olive oils. 

If these notions, in relation to the operation of 
vermifuge medicines, were not so extensively preva- 
lent as they actually are, they would be scarcely 
worthy of attention, since the evidence of their pos- 
session of any such powers of poisoning, cutting to 
pieces or suffocating worms, as have been attributed 
to them, is far from satisfactory, and as it would not 
appear very improbable that the foreign matters 
which possess the power of poisoning these parasitic 
animals, may also poison the human being whose 
bowels are infested by them ; and that if the filings of 
tin or the setae of the dolichos operate by mortally 
wounding the worms, we might apprehend some risk 
of injury to the bowels themselves. 

But as even slight observation will convince us of 
the power of most of the medicines which have been 
celebrated as vermifuges, either obviously to alter the 
character of the secretions poured into the alimentary 
canal, or to remove those symptoms which often ac- 
company and are considered as marking the presence 

24* 



372 • VERMES. 

of intestinal worms, we have the most convincing 
evidence of their powerful operation upon the human 
stomach and bowels. The knowledge of these facts 
enables us to perceive more distinctly than we have 
hitherto done, what are the uses and what have 
been the abuses of vermifuge remedies. In the first 
place, viewing the worms as a consequence and not a 
cause of the disease, we can understand, that as the 
symptoms usually observed when worms are present, 
arise from the gastro-enteric disorder, and not from 
the worms, and as these symptoms may exist without 
the presence of these animals ; that vermifuge medi- 
cines will often remove the symptoms attributed to 
worms, without the appearaiice of these in the dis- 
charges. Under these obviously more correct views, 
we shall neither be led into the error of supposing, 
that notwithstanding there have been no worms dis- 
charged, still they must have existed, and that as the 
symptoms have disappeared, they must have been 
killed and digested ; nor shall we fall into the still 
more ridiculous mistake of considering the altered 
excretions of the bowels as the fragments of these 
animals. 

In the next place, we can understand that as the 
vermifuge medicines have a decided action upon the 
stomach or intestines, they must each, according to 
the peculiarity of their action, be capable of subduing 
some of the disorders of these viscera, especially 
when these disorders originate in . the viscera them- 
selves, as they are very likely to do from errors in 
diet, and not in constitutional derangement. That 
as these remedies are, in fact, prescribed against 
certain symptoms which experience has taught us 
they are capable of removing, the actual cures from 



VERMES. 



373 



their employment may be numerous. But as no one 
remedy can be expected to cure more than a small 
proportion of the derangements of these viscera, if 
proper attention be not paid to the selection of the 
remedies, as adapted to the peculiar forms of these 
disorders, it will frequently happen that mischief, 
instead of benefit, will result from their employment; 
even when they effect the destruction and discharge 
of the worms. For if the pathogenetic operation of 
the remedy be not such as to supplant and subdue 
the previous disease, the system has been unavail- 
ingly submitted to a new disorder, and its energies 
having thereby been impaired, it cannot as well resist 
the advances of the old disease. And it probably 
has arisen from the observation of the injurious effects 
which ensue from the removal of worms by medi- 
cines which are not adapted to overcome the disease 
which allows of their existence; that many physicians 
have considered worms to be rather beneficial than 
otherwise, and that they act as a species of "sca- 
vengers" by consuming matters in the bowels, which, 
but for them, would prove prejudicial to the health. 

How far worms may perform the part thus attri- 
buted to them, or whether it really belongs to them, 
I shall not attempt to decide ; but even admitting that 
they are useful, I can see no propriety in withhold- 
ing the treatment which is proper for their removal, 
because, they are themselves an evidence of a dis- 
ordered state of the alimentary canal which ought to 
be corrected, and the correction of which will be at- 
tended by the disappearance of the worms. 

It is probable that the morbid conditions are dif- 
ferent which favour the existence of the different 
kinds of intestinal worms; that one form of disorder 



374 VERMES. 

is suited to the taenia, another to the lumbricus, and a 
third to the ascarides: and if this is the fact, that 
these morbid conditions sometimes exist in complica- 
tion, for we often find lumbrici and ascarides, and 
even lumbrici and tsenia in the same subject. It is 
therefore possible that even when the chief morbid 
action is located in the stomach and intestines, not 
merely one but many remedies must be employed in 
succession in order to effect a cure. 

Where the gastro-enteric disorder is dependent 
upon constitutional derangement, the remedies which 
are capable of removing the latter must be employed, 
but may be advantageously alternated with those 
which are indicated by the former disease. 

The physician who is called upon to attend per- 
sons, especially children, labouring under such symp- 
toms as usually accompany the presence of worms in 
the bowels, cannot be too careful to interdict the 
frequent and habitual use of much saccharine matter, 
of confectionary, of dried and preserved fruits, and of 
food difficult of digestion ; and to recommend a pure, 
wholesome and nutritious diet. 

Ascarides. Where these worms are present, the 
following remedies may be useful; aconit., ferrum, 
ignatia, marum verum, mercur., nux vom., sulphur, 
valerian. When ascarides produce severe itching 
about the anus, and soreness of the rectum, sulphur, 
ferrum or marum verum, will most probably be indi- 
cated. 

Lumbrici. Where these worms are present, bellad., 
cina, mercur., nux vom., spigelia. 

Taenia solium. Filix mas, graphit., calcis carb., 
sabadilla, fragraria vesca. 

In addition to the above remedies, the following 



VESANLE. 375 

may also be sometimes useful; asarum, cicuta, digi- 
talis, silex, stannum, veratrum. 



VESANLE. 

Insanity. 

The disorders of the mental faculties being so nu- 
merous and varied as to forbid, in the present state of 
our knowledge, any classification which would prove 
of much service to the homoeopathic physician, I shall 
attempt no other arrangement than that which, ex- 
hibits, under each remedy, the cases in which it has 
effected cures, and those in which, although other 
remedies have been used, it has been evidently useful. 

Aconit. In those cases where there is a supersti- 
tious belief in a fixed day of death, whether this belief 
is founded on presage or presentiment, aconit. is a most 
valuable remedy. The important influence which a 
fixed idea of this kind may exert on the general health 
of the body, and the fatal results which it may pro- 
duce in debilitated conditions, are already known to 
the profession. But as the following unfortunate 
case, which is related by Dr. Gross, stands in strong 
contrast in its issue with those which are afterwards 
detailed, I consider its insertion in this place to be 
proper. 

Case. A young, blooming and well formed woman 
had purchased, while yet a girl, a "planet," which 
was to inform her of her future destiny. Among 
other things, the "planet" foretold that she would die 
in her first childbed. As she was then quite young, 
although she believed the presage, yet she did 
not allow it to trouble her at that time. She was 



376 vesanie. 

afterwards happily married, and in consequence of 
her temperament, mostly cheerful, though she still be- 
lieved that she would, die at the time foretold. Preg- 
nancy advanced regularly, parturition was speedy 
and fortunate, and the secundines followed easily and 
properly. But then she thought she was flooding to 
death. Dr. Gross, who was called to visit her, found 
the discharge of blood very trifling, and the condition 
of bodily health satisfactory. On the third day she 
was attacked with fever, with determination of blood 
to the head, and in her delirium her fixed idea was 
the theme of her whole discourse. Nothing afforded 
any benefit, and she died in the following night, "it- 
might truly be said, of imagination alone," for no 
physician would have seen any cause of death in the 
existing symptoms, if he had not known of the fixed 
idea. 

The next case is also related by Dr. Gross. 

Case. A woman set, 20 ami., the mother of one 
child, imagined, in her second pregnancy, without 
being able to state on what grounds, that she would 
die during her approaching confinement. At the 
proper period she was delivered of twins, but was 
considerably exhausted by the labour. Many symp- 
toms of nervous disorder, which probably were in- 
duced by her fixed idea, then appeared. About the 
ninth day after parturition, she was attacked towards 
evening with great determination of blood to the 
breast, and suffocative oppression; the pulse was in- 
termittent, and the body was covered with a cold, 
clammy sweat. She resignedly took leave of her 
friends, then talked deliriously of her near approach- 
ing death, and afterwards lay still, showing by her 
gesture great anxiety about the heart. Aconit. 30 



VESANIjE. 



377 



was given, and in the course of two hours all these 
appearances vanished, and the thoughts of death had 
given place to cheerfulness. 

Case. In a woman set. 20 ann. In consequence 
of a superstitious presentiment as to the day of her 
death. As the ominous day, to which she looked 
forward with great anxiety, approached, she was at- 
tacked with fever and delirium. Bleeding produced 
no improvement, and the patient at one time broke 
out into laughing, and at another into weeping de- 
lirium ; rose out of bed at night, and endeavoured to 
climb up the wall or to escape from the apartment; 
but lay in the day time dull and torpid. Aconit. was 
given, and by the next visit the patient could under- 
stand the questions addressed to her, and answered 
them with motions of her head. In the course of 
two days, consciousness was completely restored, she 
ate, spake and slept, but a nervous fever developed 
itself, and confined her for nearly two months. After 
her recovery, on being asked in what manner she had 
become sick, she answered, "in a right stupid man- 
ner." (Attomyr.) 

Arsenicum. In the case of a man set. 32 ann. ; the 
following form of disease recurred periodically; at 
first,, at intervals of six months, but afterwards every 
third month, and finally every four weeks. After 
bleeding and a foot bath, the paroxysms had always 
disappeared in from four to eight days. When at- 
tacked, he could not sleep, but constantly tossed about 
in bed, where he became covered with sweat. At 
length he could continue no longer in bed, but must 
rise and go about on account of an indescribable but 
dreadful internal anxiety which allowed him no rest, 
but drove him about from place to place. Frequently 



378 vesani^:. 

he could not restrain himself from weeping and wail- 
ing. At these times it was very unpleasant to meet 
his acquaintance, because he believed he had uncon- 
sciously injured them, and therefore he would ask 
pardon of every one. He would fall at the feet of his 
wife, and entreat her not to be angry at him, although 
he did not know that he had ever injured or offended 
her. At the same time, he felt a great heat in his 
face and head. His pulse was eighty in the minute, 
and rather weak. Arsenicum 30 was given, and in 
a short time afterwards he fell asleep, slept through 
the whole night, and awakened well the next morn- 
ing. In four weeks there was a recurrence of the 
disease ; the arsenicum was again given with the same 
success, and two years afterwards there had been no 
return of the complaint. 

Aurum proved useful in a case of religious melan- 
choly, from compunction of conscience for misdeeds, 
which was characterised by great anxiety, weeping, 
praying, anxious and frightful dreams, feeling of 
great debility, emaciation, morning sweat and painful 
menstruation. 

Belladonna. This remedy, according to Hartmann, 
may prove useful in melancholy, when this disease is 
occasioned by disorder of the abdominal viscera, and 
there are, at times, spasmodic affections of the muscles 
of deglutition and of the bladder. But it is more 
frequently applicable in idiotic conditions, especially 
when there are rapid alternations of merriment and 
sorrow; or of continual babbling and obstinate silence. 
It may also be indicated in mania when there is un- 
common muscular strength. 

Case. A gentleman, after great mental excite- 
ment, combined with grief and fright, was suddenly 



VESANLE. 



379 



attacked with mania, characterised by the following 
symptoms: Fearful anxiety; seeing of ghosts and 
devils, who threatened to murder him; fear of death; 
black hounds would seize him; he knew nobody; 
trembling in his body and limbs ; pulling at his teeth 
with his fingers; biting, spitting, and striking about; 
great muscular strength in his fits of raving ; it ap- 
peared to him as if he was raised up by a rope; he 
saw every thing doubled; the right upper eyelid 
hung down as if paralysed; copious sweat, of a 
strong, almost urinous odour. Belladonna gtt. i. 30 
was given, and in a quarter of an hour he fell into a 
sleep which continued for six hours. He awoke with 
full consciousness, but health was not completely 
restored ; there was still fear and anxiety, and he was 
tormented with fantastic appearances in every direc- 
tion. This continued for three days to alternate with 
a comatose condition. At the end of this time, 
opium gr. i. 3 was given, and in twelve hours he felt 
himself free from his disease and cheerful. In six 
days he was able to resume his business. 

Conium. A melancholy young woman speedily 
regained her cheerfulness and vivacity under the use 
of conium 3|30, dissolved in six ounces of water, of 
which a spoonful was taken daily. 

Dulcamara proved useful in a case of mania. 

Helkborus is recommended for quiet melancholy. 

In a case in which the intellectual disorder had 
been removed by stramonium, but great depression 
of spirits and sorrowfulness remained, the helleborus 
niger completed the cure. 

Hyosciamus proved highly advantageous in the 
case of an infant, who laid in an idiotic condition and 
passed its stools and faeces involuntarily. 



380 vesani^:. 

This remedy, aided by veratrum and pulsatilla, 
cured a case of melancholy accompanying amenor- 
rhoea, arising from fright. The disease was charac- 
terised by fear; endeavours to escape out of the 
house; fear of being poisoned or sold; belief of being 
bewitched. 

Ignatia is recommended for melancholy arising 
from care, grief or mortification, and where there is a 
love of solitude, and constant thought on the unplea- 
sant circumstances which have induced the disease. 

Lachesis. "A young man, from too intense study, 
had become insane, and fallen into an extraordinary 
talkativeness, which did not correspond with his 
temperament, and discoursed incessantly in the most 
chosen expressions, yet passed rapidly from one sub- 
ject to another, and thus discussed the most hetero- 
geneous matters. He, at the same time, treated those 
about him with a kind of hauteur and great distrust. 
I gave him lachesis 2|30 with the result, that he dis- 
continued his discourses, and returned to his ordinary 
behaviour. Only there still remained an inordinate 
appetite, and an irritability of disposition, which 
would not permit him to endure contradiction, and 
he also exhibited a peculiar formality in his manner 
towards others." Gross. 

Nux vom. A young man, when nineteen years of 
age, became insane from over exertion of mind, &c. 
At that time he was alloeopathically treated, and after 
a year restored to health. A year after his cure, he 
had a relapse in the same month, and under the 
same circumstances as those of his first attack, which 
was characterised by some of the same symptoms. 
He was chilly and fretful in the mornings; his coun- 
tenance was gloomy and perturbed ; he was anxious 



VESANLE. 



381 



about his situation; had complete loss of appetite; 
white coated tongue; bitter, and acid taste; flow of 
water into the mouth; disposition to vomit; frequent 
pressure to stool, with small discharges of nearly 
natural faeces; no thirst; in the left side of the abdo- 
men a sensation of great weakness, which appeared 
to extend from thence to the head, and disqualified 
him for any employment; he unwillingly spoke a 
word; felt extremely weak and relaxed; trembled in 
his limbs; had continual chilliness; paleness of the 
face ; was very restless and excited ; could not sleep, 
although he was much fatigued ; he at times talked 
irrationally, and was very passionate. Nux vom. 
gtt. i. 30 was given, and in a few hours the disease 
entirely disappeared. 

Case. In a man set. 56 ann., of large and robust 
frame, who had been for fifteen years a postilion, 
but had left this active business under mortifying 
circumstances. In consequence of a great change in 
his mode of life, as he formerly moved continually in 
the open air, but now spent his time sitting in his 
room, as well as from the disagreeable recollections 
which still continued to operate upon him, he fell 
into a kind of melancholy. For this he was allceo- 
pathically treated by a respectable physician, but 
without any success. When seen by Dr. Ruckert, 
who reports the case, the following symptoms pre- 
sented themselves. His countenance was much per- 
turbed, his eyes were red, and alternately dull and 
wild. He spoke little, but that little evinced a 
morbid care; he believed, for example, that he must 
freeze from insufficiency of fuel, or, that he and his 
family must perish from hunger, that something bad 
would happen to the absent, that he would never 



382 VESANLE. 

recover, that, as the greatest of sinners, he must be 
punished temporally, and eternally, that he must be 
judged, and if any stranger entered the room he 
thought he was about to be carried to execution. He 
had attacks of great restlessness, and complained of 
horrible anxiety, seized after every thing near him, 
would endeavour to go out ; and in these paroxysms it 
required several strong men to hold him. He ate 
nothing, because he considered it useless, and could 
not sleep. His bowels had not been open for several 
days. His pulse was small and rather slow, and he 
had paroxysms of palpitation of the heart. Nux vom. 
gtt. i. 15 was given, and in the course of a few days 
he sat quietly, but answered no questions, did not 
know his wife and children, asked after strange 
things, looked staringly forward, laughed frequently, 
and exhibited nothing of his previous care. He had 
a few partially lucid intervals, in which he stated 
that he felt well, but did not know where he was. 
His bowels had been opened. Stramonium gtt. i. 6 
was next given, and the following night he was so 
violent that he had to be bound. This condition 
continued, though diminished in violence, for three 
days, when veratrum gr. i. 9 was administered. 
"The result," says Dr. Ruckert, "crowned my expec- 
tations, for from day to day his condition improved, 
he no longer sought to run away, sat commonly 
quietly in a somewhat stupid condition, spoke but 
little, and only when he was addressed, knew at times 
his situation and was concerned about it, could often 
be allowed to go at liberty, and desired to be bound 
when he was attacked with the premonitions of rest- 
lessness and anxiety. He ate and drank heartily, and 
sometimes slept for some hours." Hyosciamus gr. i. 



VESANIjE. 



383 



9 was next given, and in a few days he was perfectly 
quiet, had a clear understanding, answered all ques- 
tions correctly, and spoke of his previous condition. 
He complained of great debility in all his limbs, and 
that he either could not sleep on account of anxious 
thoughts, or that his sleep was disturbed by dreams. 
He could not lie still, but tossed about in his bed. 
Otherwise he felt well, and ate and drank as when he 
was well. In order to subdue this nocturnal restless- 
ness, belladonna gr. i. 12 was given, and in a few 
days the man enjoyed perfect health. 

Opium. In a case where the patient believed him- 
self not at home, would go out, did not know his 
relations, was anxious and wild, and had an inclina- 
tion without the ability to sleep; opium effected a 
cure. 

Petroleum. In the case of a man set. 40 ann. He 
was irritable, peevish and indisposed to employment; 
had heaviness, heat and pain in the head, and pain 
in the back and loins every morning; paleness of the 
face; spasmodic eructation (singultus?); little ap- 
petite ; thin mucous stools, with cutting pain in the 
abdomen ; copious night and morning sweats ; emacia- 
tion; debility; sleepiness in the morning; restless 
sleep. Petroleum gtt. i. 30, given daily for some 
weeks, effected a cure. 

Platinum. In the case of a woman set. 30 ann., of 
sanguine temperament. She had enjoyed good health 
until she was attacked with a species of melancholy, 
for which she was repeatedly bled. She recovered 
from her melancholy, but her health was delicate. 
Two years afterwards she had a return of the disease. 
She passed sleepless nights, answered no questions, 
but muttered to herself, and complained of nothing 



384 VESANLE. 

else than great anxiety at her heart. She exhibited 
extreme fearfulness ; trembled in her limbs ; her face 
was red; pulse small and weak. On the next day 
after platinum gr. i. 2, her condition was very much 
improved, and by the third day she was perfectly 
well, and remained so at the end of eighteen months. 

Case. In a girl set. 19 ann. She talked almost 
incessantly, sometimes of actual circumstances, and 
sometimes irrationally. She laughed, sang, danced 
and wept, distorted her countenance, and gesticulated 
with her hands. She adhered obstinately to her 
ideas without becoming raving. She had no desire 
for food, but of what was offered to her she ate with 
haste. Platinum produced a very beneficial change. 
A remaining disposition to silence and great reserve 
was removed by sepia. 

Pulsatilla. In the case of a woman set. 19 ann. 
who was naturally of a lively and cheerful disposi- 
tion. In the eighth month of her first pregnancy 
she became gloomy, mistrustful and reserved. She 
frequently sat still and folded her hands, laid them 
on her abdomen and sighed. To the questions of her 
affectionate husband and of her mother she gave no 
other reply than "there is nothing the matter with 
me." At times she had heat of the face and thirst; 
she had no desire for food; felt herself very weak, 
had pain in her limbs, and was unable to sleep. She 
often sought for things in wrong places, or knew not 
where she was. She talked incongruously, espe- 
cially at night, when she would go out, because, as 
she stated, "the black men would injure her." After 
the paroxysms she had no recollection of them. Bel- 
ladonna 30 was given, and for forty-eight hours she 
was quiet, and felt and slept well. At the end of this 



VESANLE. 



385 



time there was a renewal of the complaint, which 
continued to increase in violence for three days, 
when pulsatilla gtt. i. 15 was given. Some hours 
after this medicine, she again saw the black men and 
would go out, but soon became quiet, and had, during 
the remainder of her pregnancy, (as well as after- 
wards), not the slightest trace of the disease. 

Case. In a woman set. 18 ann. Suppressio men- 
sium for eight months, dyspepsia, haemoptysis, pain 
in the breast and general debility. She thought with 
pleasure of drowning herself, was sorrowful, and fre- 
quently wept without any known cause, was dis- 
pleased with every thing, easily excited to anger, 
fearful, anxious, and weary of life. In eight days 
after pulsatilla gtt. i. 15, the menses reappeared and 
continued to now for three days. Afterwards she 
improved rapidly, and menstruation recurred at the 
proper time. 

Case. In a woman set. 26 ann. Irregular men- 
struation; daily diarrhoea; sleepless nights, from great 
anxiety and restlessness; headache; pressure in the 
region of the heart; pain in the sacrum; believed she 
would not be saved, and hoped for help only from 
constant prayers. Pulsatilla was given, and in two 
days she was perfectly well. 

Stramonium. In the case of a man set. 23 ann., 
who had previously experienced three attacks of 
mental derangement; the first of which endured for 
two, the second for five, and the third for eight weeks. 
The treatment in the two last attacks had consisted 
in copious bleeding, the free use of nitre, tart, anti- 
monii, &c. In the fourth attack he presented the 
following symptoms; great restlessness; confused 
memory ; inability to think clearly ; at times dread of 
25 



386 VESANLE. 

savage beasts and black dogs; heat, and at times 
redness of the face; staring appearance of the eyes; 
anxiety and thirst; sorrowfulness; weeping, and 
thoughts of death ; organs of speech as if paralysed, 
he stuttered and stammered much before he could 
speak a few words; frequent coldness of the body, 
and constant coldness of the feet ; restless sleep ; pulse 
irregular, quick and small. Stramonium 15 cured 
him perfectly in twenty-four hours, and he afterwards 
remained well. 

Sulphur. In a case of melancholy, with suppressio 
mensium, occurring in a woman set. 45 ann. who 
had experienced several attacks of the same form 
of disease, which had always disappeared without 
treatment in six or eight days. But the last attack 
continued for several weeks, when medical aid was 
sought. Her countenance was pale, and exhibited 
the peculiar features of melancholy; her eyes were 
dull. She complained of headache and a sensation of 
pressure in the head, and of pressure in the epigas- 
trium. She was very anxious and concerned about 
her situation; thought she must starve, and often 
walked about the room wringing her hands. She 
was often seized with violent anxiety, which impelled 
her to run away, which she w r as unable to do from 
the watchful care of her family. Pulsatilla 7|12 pro- 
duced no improvement in four days, when tr. sul- 
phuris 7|15 was administered. In nine days the 
melancholy had entirely disappeared. There was 
afterwards a slight renewal of the complaint, for 
which, it being considered by the physician as be- 
longing to the primary operation of the medicine, no 
remedy was given. In a few days this also ceased, 
and about the thirtieth dav after the administration of 



VESANIjE. 



387 



the sulphur, menstruation took place and continued 
for four days, after which she remained well. 

Case. A woman set. 26 ann. of quiet, tranquil 
temperament, strong frame, brown hair; two weeks 
after the birth of her third child, was attacked with 
mental derangement, and three weeks later, when 
Dr. Tietze was consulted, presented the following 
symptoms. 

She mostly sat still, did not speak, and when much 
pressed with questions, only answered very briefly. 
She was morose and peevish. But at times she wept 
and complained, and her mien was expressive of care 
and uneasiness. She was often oppressed with blas- 
phemous thoughts and ideas, from which she could 
not free herself. This rendered her, for some time, 
anxious for the welfare of her soul. She would after 
a time again seat herself and cease to speak or weep. 
Her countenance was pale and expressive of anxiety. 
If, for a short time, she felt better, the countenance 
became more cheerful. She frequently complained 
of headache ; had aversion to employment, and indif- 
ference to her household concerns ; yet she cared for 
her child, and still nursed it, though the breasts did 
not appear to afford a sufficiency of milk; complained 
of great debility. Appetite and sleep good. In the 
early part of the disease she became vexed, and, 
contrary to her usual habit, was excited and violent. 
Belladonna caused a temporary improvement. Ve- 
ratrum, which was next given, was productive of no 
benefit. Tr. sulphuris 5|15 was followed by marked 
improvement; the disease would disappear for days 
and again return Cocculus 5|12 was next given, but 
with little advantage. Then lycopodium 5|18, after 
which she was quite well for fourteen days, when the 



388 vesani^:. 

disease again recurred. Acid, nit 3|30 was next 
given, and was several times repeated with advantage. 
Then sulphur was again given, and completed the 
cure. A year afterwards there had been no return 
of the disease. 

Veratrum is esteemed by Hahnemann as a very 
valuable remedy, and one that is very frequently 
applicable in mental derangement. 

Case. A miller set. 60 ann. of a quiet and, at 
times, melancholy disposition, had, with two of his 
brothers, the destiny to be visited once or twice a 
year with mania. The duration, or the previous 
modes of treatment, of these attacks are not mentioned 
by the physician who reports the case. In the 
attack, the treatment of which is recorded, the phy- 
sician was called upon to visit him on the third day 
of his illness. The patient had severe pains in the 
lower part of the back; costiveness; flatulence; ver- 
tigo; great anxiety, moaning, restlessness, and such 
a confusion of ideas as induced the most senseless 
undertakings. He was at times very violent, and 
had driven every one out of the room but a favourite 
son. Veratrum gtt. i. 12 was given at four o'clock 
in the afternoon, and was followed, after a short time, 
by a slight homoeopathic aggravation, but he soon 
fell into a comfortable sleep, from which he awakened 
the next morning perfectly well. 

Case. In a widow. Mania, with unchaste speech 
and lewdness; cured by veratrum album gtt. i. 12. 



WARTS AND CORNS. 



WARTS AND CORNS. 



389 



These excrescences, which are generally so little 
dangerous, but of which the former are very un- 
sightly, and the latter very troublesome, obviously 
arise from a disordered condition of the system. But 
the opinion that the wearing of tight shoes causes 
the appearance of corns, is thus far correct, that the 
irritation from pressure, &c, may invite the formation 
of corns, when the condition of the system is such as 
to favour it. But we often see crops of corns formed 
between the toes towards their roots, where pressure 
does not take place because of the greater bulk of the 
toes towards their extremities, and we often witness 
the disappearance of corns as well as of warts, with- 
out any known cause for such disappearance. This 
we can only attribute to changes in the actions of the 
system. It is the object of the homoeopathic physi- 
cian to effect with certainty, by his remedies, those 
changes which sometimes take place casually by 
the accidental exposure to those influences which are 
capable of effecting the proper alternations in the 
actions of the system. More accurate observation 
than has hitherto been extended to these diseases is 
required before it will be possible to point out, in a 
satisfactory manner, the remedies which may be use- 
ful in removing them. 

Warts have been removed by calcis carl., dul- 
camara, rhus, sepia, sulphur and thuya. 

For the removal of corns, arnica, antimonium, 
and the remedies just mentioned for warts, have 
been recommended as worthy of attention. 





INDEX. 




PAGE 


Abortio .... 


. 17 


Cold in the head 


Amaurosis 


195 


Colica .... 


Amblyopia 


. 193 


Constipatio .... 


Anasarca. See Hydrops. 




Consumption 


Angina faucium 


23 


Contusio .... 


Angina stridula . 


. 20 


Convulsio 


Angina tonsillaris 


23 


Coryza ..... 


Anthiax . . . . 


. 25 


Cough .... 


Anus .... 


25 


Corns ..... 


Aphonia .... 


. 25 


Croup .... 


Aphrodysia 


27 


Crusta lactea .... 


Aphthae . . . . 


. 27 


Crusta serpiginosa 


Apoplexia 


28 


Cynanche faucium . 


Arthritis .... 


. 30 


Cynanche trachealis 


Ascites. See Hydrops. 




Cynanche tonsillaris 


Asthma Millari 


22 


Cyphosis. See Bones. 


Asthma, Dyspnoea, &c. 


. 31 


Cystitis .... 


Atrophia 


41 


Delirium tremens 


Bladder, urinary 


. 43 


Diarrhoea .... 


Bones .... 


44 


Digestion, difficulty of 


Brain . . . . 


. 63 


Distortio spinalis. See Bones. 


Breasts — mammae 


289 


Dropsy .... 


Bruise . . . . 


. 107 


Dropsy of the brain 


Bucnemia. See Eruptiones. 




Dyseccea .... 
Dysenteria . 


Cancer .... 


. 348 


Dyspepsia 


Carditis . . . . 


. 264 


Dysphagia . . . . 


Caries. See Bones. 




Dyspnoea .... 


Cataracta 


191 




Catalepsia 


. 68 


Ear and Hearing 


Catarrhus 


69 


Elephantiasis 


Catarrhus sporadicus . 


. 70 


Encephalitis .... 


Catarrhus epidemicus 


73 


Epilepsia. See Convulsio. 


Cephalalgia 


. 77 


Epistaxis .... 


Chiragra 


30 


Eruptiones cutanea? 


Cholera . . 


. 90 


Erysipelas 


Cholera Asiatica 


95 


Exostoris. See Bones. 


Cholera infantum 


. 93 


Eye and Vision , 


Cholera morbus 


90 


Eyes, bleeding from the 


Chordae spermatic^ 


. 355 


Eyelids 


Chorea .... 


97 




Circocele . 


. 356 


Fainting .... 



INDEX. 





PAGE 




Febris . . . • • 


198 


Inflammation of the Testes . 




. 198 


TTterns 


Febres contin. et remit. 




Febres intermittentes 


214 


Influenza . 


Felon .... 


. 319 


Insanity ...» 


Fistula in ano 


25 




Flux 


. 132 


Jaundice . 


Fluor albus . 


280 




Fungus hoematodes 


. 236 


Kidneys, inflammation of the 


Fungus hcemat. oculi 


187 


Lepra arabum. See Eruptiones. 


Gastritis .... 


. 237 


Leucoma .... 


Gonagra . 


30 


Leucorrhoea .... 


Gonorrhoea 


. 238 


Liver .... 


Grippe ..... 


74 


Locked jaw .... 


Gums .... 


. 239 


Lordosis. See Bones. 

Lues venerea . • • 


Hamiatemosis 


243 


Lungs 


Hematuria 


. 257 




Haemoptysis .... 


245 


Mammae .... 


Hamonhagia 


. 240 


Mammilla? .... 


Ha:morrhagia oculi . 


241 


Mania a. potu 


Haemorrhagia uterina . 


. 253 


Measles ..... 


Hajmorrhoides 


260 


Melsena .... 


Headache , 


. 77 


Menses ..... 


Hearing .... 


151 


Metritis .... 


Heart .... 


. 264 


Metrorrhagia .... 


Hcmicrania. See Cephalalgia. 




Milk-leg .... 


Hepatitis .... 


283 


Mollitees ossium. See Bones. 


Hernia .... 


. 269 


Morbilli .... 


Herpes. See Eruptiones. 




Morbus coxarius 


Hiccough .... 


351 


Morbus niger . 


Hordeolum 


. 198 




Hydrocele. .... 


356 


Necrosis. See Bones. 


Hydrocephalus 


. 65 


Nephritis .... 


Hydrops .... 


270 


Neuralgia .... 


Hydrothorax. See Hydrops. 




Nightmare 


Hyperostosis. See Bones. 




Nipples . . . . . 


Hysteria .... 


. 278 


Nose .... 


Hysteritis . 


362 


Nose, bleeding from the . 
Nymphomania 


Icterus .... 


. 278 




Impotentia . . . . 


27 


Odontalgia . 


Incubus .... 


. 280 


Oneirogmos 


Inflammation of the Bladder 


43 


Ophthalmia . . . . 




. 63 

151 

. 177 


Ophthalmodynia 
Ophthalmorrhagia 
Opisthotonos. See Tetanus. 


Fir 


ijar . . 

Virr 


S-jyG • 




23 


Otalgia .... 






. 264 
299 

. 283 


Otitis 

Otorrhoea .... 
Ozcena . 










286 










. 321 


Palsy .... 


i eruoneum 




237 


Paralysis . 





PAGE 

. 355 

I 362 

. 73 

375 

. 278 

299 



INDEX. 





PAGE 




PAGE 


Paronychia 


. 319 


Swallowing, difficulty of . 


148 


Parturitio .... 


320 


Sycosis .... 


. 352 


Pemphigus 


. 157 


Syncope . 


354 


Peritonitis .... 


321 


Syphilis .... 


. 354 


Pertussis .... 


. 361 






Phlegmatia alba dolens 


323 


Testes . 


355 


Phrenitis .... 


. 53 


Tetanus .... 


. 356 


Phthisis pulmonalis 


323 


Tic doloureux 


300 


Piles 


. 260 


Tinea capitis. See Eruptiones. 




Pleuritis .... 


286 


Toothache 


. 305 


Plica polonica. See Eruptiones. 




Trismus. See Tetanus. 




Pneumonia 


. 286 


Tussis . 


358 


Podagra .... 


30 


Tussis convulsiva 


. 361 


Priapismus 


. 27 






Psora. See Eruptiones. 




Urticaria. See Eruptiones. 




Psorophthalmia ... 


198 


Uterine haemorrhage 


253 


Purpura miliaris 


. 343 


Uteri prolapsus 


. 363 






Uterus 


362 


Rachitis. See Bones. 








Ranula ..... 


335 


Variola .... 


. 364 


Rhagades. See Eruptiones. 




Venereal disease 


354 


Rheumatism us 


. 336 


Vermes .... 


. 370 


Rubeola . . . . 


341 


Vesanise .... 


375 






Vesica urinalis 


. 43 






Vision ..... 


176 


Satyriasis .... 


. 27 


Voice, imperfection of the 


. 25 


Scarlatina .... 


343 






Scirrhus .... 


. 348 


Warts and Corns 


389 


Scrofula .... 


351 


Whites .... 


. 280 


Singultus .... 


. 351 


Whitlow . . . . 


319 


Small-pox .... 


364 


Whooping-cough 


. 361 


Spina ventosa. See Bones. 




Womb ..... 


362 


Spermatic chords 


. 355 


Worms .... 


. 370 


Sterilitas .... 


27 






St. Vitus' dance 


. 97 


Zona. See Eruptiones. 





N ™NAL LIBRARY OF MEDICINE 



NLI1 DIDDlbbT 7